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Organization
JOURNEY WELL THERAPY AND COACHING PLLC
Active
Organization
JOURNEY WELL THERAPY AND COACHING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN DIERKS LCSW (OWNER AND THERAPIST)
(563) 321-7650
Entity
Organization
Contact information
Practice address
408 11TH AVENUE, FULTON, IL 61252
(563) 321-7650
Mailing address
13109 SAND RD, FULTON, IL 61252-9853
(563) 321-7650
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/04/2020
Last updated
04/04/2020
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