Cottage Clinic Counseling, Inc.

NPI 1063604262 - Psychologist - 103TC2200X

NPI Details
NPI 1063604262
Enumeration Date 08/13/2007
Last Updated 08/13/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHARON V. SHARON
Position LICENSED CLINICAL PSYCH.; PRESIDENT
Phone (815) 932-8443
Fax (815) 936-1295
Practice Location
115 MOONEY DR
BOURBONNAIS IL, 60914-2147, US
Phone (815) 932-8443
Fax (815) 936-1295
Business Location
115 MOONEY DR
BOURBONNAIS IL, 60914-2147, US
Phone (815) 932-8443
Fax (815) 936-1295
Toxanomy
Taxonomy Code 103TC2200X
License State
License Number
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According to our database, Cottage Clinic Counseling, Inc. NPI is 1063604262, taxonomy code is 103TC2200X Cottage Clinic Counseling, Inc. physically located at 115 Mooney Dr, Bourbonnais IL, 60914-2147. NPI Number 1033115704 has the healthcare provider type.

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1063604262 NPI number is provided on an as is basis without warranty of any kind. 1063604262 is maintained by the National Plan & Provider Enumeration System. The contents of Cottage Clinic Counseling, Inc. are for informational purposes only.