Dale W. Faber, Lcsw, P.C.
Clinic/Center, Adult Mental Health in Downers Grove, IL. Organization (NPI-2).
NPI number1003147232
StatusActive
Last updated in NPPESJul 9, 2013
Details
- NPI
- 1003147232
- Entity type
- Organization (NPI-2)
- Legal business name
- Dale W. Faber, Lcsw, P.C.
- Organization subpart
- No
- Enumeration date
- Jan 28, 2010
- Last updated
- Jul 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | 149-008480 | IL | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | 149-008480 | IL |
Practice location
1035 Grove StDowners Grove, IL 60515-4636
Phone 630-926-4873 · Fax 630-852-6335
Mailing address
1035 Grove StDowners Grove, IL 60515-4636
Phone 630-926-4873 · Fax 630-852-6335
Authorized official
Dale W Faber
Owner
6309264873
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All 7 Adult Mental Health Clinic/Center providers in Downers Grove · All 2,499 providers in Downers Grove
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