Illinois Valley Counseling Services

NPI 1134568249 - Social Worker - 1041C0700X

NPI Details
NPI 1134568249
Enumeration Date 06/21/2013
Last Updated 06/21/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SHAWN W SHAWN
Position OWNER
Phone (815) 993-1614
Fax
Practice Location
807 LASALLE ST
OTTAWA IL, 61350-9144, US
Phone (815) 993-1614
Fax
Business Location
1220 TOWER DR
OTTAWA IL, 61350-9144, US
Phone (815) 993-1614
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149013269
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According to our database, Illinois Valley Counseling Services NPI is 1134568249, taxonomy code is 1041C0700X and license number is 149013269, license state is located at Illinois. Illinois Valley Counseling Services physically located at 807 Lasalle St, Ottawa IL, 61350-9144. NPI Number 1033115704 has the healthcare provider type.

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1134568249 NPI number is provided on an as is basis without warranty of any kind. 1134568249 is maintained by the National Plan & Provider Enumeration System. The contents of Illinois Valley Counseling Services are for informational purposes only.