Prairie River Counseling And Consulting, LLC
Community/Behavioral Health in Bourbonnais, IL. Organization (NPI-2).
NPI number1982141032
StatusActive
Last updated in NPPESFeb 22, 2017
Details
- NPI
- 1982141032
- Entity type
- Organization (NPI-2)
- Legal business name
- Prairie River Counseling And Consulting, LLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2017
- Last updated
- Feb 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 149018807 | IL | Yes |
Practice location
310 N Convent StSuite 3
Bourbonnais, IL 60914-2099
Phone 815-304-4948
Mailing address
310 N Convent StSuite 3
Bourbonnais, IL 60914-2099
Phone 815-304-4948
Authorized official
Mary Therese Boyle
Manager
8153044948
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