Forest City Counseling, LLC
Social Worker, Clinical in Rockford, IL. Organization (NPI-2).
NPI number1164075990
StatusActive
Last updated in NPPESApr 20, 2023
Details
- NPI
- 1164075990
- Entity type
- Organization (NPI-2)
- Legal business name
- Forest City Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2019
- Certification date
- Apr 20, 2023
- Last updated
- Apr 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 251B00000X | Case Management | – | – |
Practice location
6735 Vistagreen Way Ste 210Rockford, IL 61107-5654
Phone 815-391-3055 · Fax 815-904-6419
Mailing address
6735 Vistagreen Way Ste 210Rockford, IL 61107-5654
Phone 815-391-3055 · Fax 815-904-6419
Authorized official
Jan M Selander
Lcsw
8155206972
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