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Organization
WOODSTOCK THERAPIST LLC
Active
Organization
WOODSTOCK THERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDSAY KEISMAN LCPC (OWNER/THERAPIST)
(815) 345-3400
Entity
Organization
Contact information
Practice address
224 W JUDD ST, WOODSTOCK, IL 60098-3199
(815) 345-3400
(844) 734-1259
Mailing address
224 W JUDD ST, WOODSTOCK, IL 60098-3199
(815) 236-3272
(844) 734-1259
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/08/2016
Last updated
02/23/2024
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