Within Holistic Counseling | |
665 W Jackson St Ste 2 Woodstock IL 60098-3187 | |
(865) 297-5077 | |
Not Available |
Full Name | Within Holistic Counseling |
---|---|
Speciality | Counselor - Professional |
Location | 665 W Jackson St Ste 2, Woodstock, Illinois |
Authorized Official Name and Position | Celeste Marie Ballard (OWNER) |
Authorized Official Contact | 8659851084 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Within Holistic Counseling 200 Midlake Dr Ste C Knoxville TN 37918-3089 Ph: (865) 985-1084 | Within Holistic Counseling 665 W Jackson St Ste 2 Woodstock IL 60098-3187 Ph: (865) 297-5077 |
NPI Number | 1063798106 |
---|---|
Provider Enumeration Date | 11/02/2011 |
Last Update Date | 11/15/2021 |
Certification Date | 11/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063798106 | NPI | - | NPPES |
1447549555 | Other | IL | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LCPC 180007509 (Illinois) | Primary |
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