Your Story Counseling, P.c.

NPI 1306248497 - Social Worker - 1041C0700X

NPI Details
NPI 1306248497
Enumeration Date 09/19/2014
Last Updated 10/11/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CLARK Q CLARK
Position PRESIDENT
Phone (630) 546-8630
Fax
Practice Location
1000 MAPLE AVE
2NE
DOWNERS GROVE IL, 60515-4965, US
Phone (630) 546-8630
Fax
Business Location
1000 MAPLE AVE
2NE
DOWNERS GROVE IL, 60515-4965, US
Phone (630) 546-8630
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.016945
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According to our database, Your Story Counseling, P.c. NPI is 1306248497, taxonomy code is 1041C0700X and license number is 149.016945, license state is located at Illinois. Your Story Counseling, P.c. physically located at 1000 Maple Ave, Downers Grove IL, 60515-4965. NPI Number 1033115704 has the healthcare provider type.

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1306248497 NPI number is provided on an as is basis without warranty of any kind. 1306248497 is maintained by the National Plan & Provider Enumeration System. The contents of Your Story Counseling, P.c. are for informational purposes only.