| Integrative Counseling & Psychological Services,pc | |
|
3925 75th St Suite105 Aurora IL 60504-7913 | |
| (630) 701-1117 | |
| (630) 983-1914 |
| Full Name | Integrative Counseling & Psychological Services,pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3925 75th St, Aurora, Illinois |
| Authorized Official Name and Position | Michele C Derengowski (OFFICE MANAGER) |
| Authorized Official Contact | 6309204076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Counseling & Psychological Services,pc 3925 75th St Suite105 Aurora IL 60504-7913 Ph: (630) 701-1117 | Integrative Counseling & Psychological Services,pc 3925 75th St Suite105 Aurora IL 60504-7913 Ph: (630) 701-1117 |
| NPI Number | 1235234733 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235234733 | NPI | - | NPPES |
| 02232380 | Other | IL | BCBS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
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