Owl Street Therapy Pc | |
2213 Owl Dr Plainfield IL 60586-6575 | |
(630) 300-4874 | |
Not Available |
Full Name | Owl Street Therapy Pc |
---|---|
Speciality | Social Worker - Clinical |
Location | 2213 Owl Dr, Plainfield, Illinois |
Authorized Official Name and Position | Kristina April Williams (OWNER/THERAPIST) |
Authorized Official Contact | 6303004874 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Owl Street Therapy Pc 2213 Owl Dr Plainfield IL 60586-6575 Ph: (630) 300-4874 | Owl Street Therapy Pc 2213 Owl Dr Plainfield IL 60586-6575 Ph: (630) 300-4874 |
NPI Number | 1164289310 |
---|---|
Provider Enumeration Date | 03/04/2024 |
Last Update Date | 03/04/2024 |
Certification Date | 03/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164289310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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