Center For Counseling | |
14 Health Services Drive Dekalb IL 60115 | |
(815) 758-8616 | |
(815) 758-7569 |
Full Name | Center For Counseling |
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Speciality | Clinic/Center |
Location | 14 Health Services Drive, Dekalb, Illinois |
Authorized Official Name and Position | David C Miller (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8157588616 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Counseling 14 Health Services Drive Dekalb IL 60115 Ph: (815) 758-8616 | Center For Counseling 14 Health Services Drive Dekalb IL 60115 Ph: (815) 758-8616 |
NPI Number | 1598820300 |
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Provider Enumeration Date | 12/22/2006 |
Last Update Date | 07/02/2013 |
Medicare PECOS PAC ID | 2264492669 |
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Medicare Enrollment ID | O20041011000510 |
Identifier | Type | State | Issuer |
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1598820300 | NPI | - | NPPES |
Provider Name | Daniel Klein |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235288598 PECOS PAC ID: 0244471324 Enrollment ID: I20130801000488 |
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