# COTTAGE CLINIC COUNSELING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063604262
- **Authorized official:** DR. SHARON V. DIGIACOMO PSY.D. (LICENSED CLINICAL PSYCH.; PRESIDENT)
- **Authorized official phone:** (815) 932-8443

## Contact information

- **Practice address:** 115 MOONEY DR, BOURBONNAIS, IL 60914-2147
- **Practice address phone:** (815) 932-8443
- **Practice address fax:** (815) 936-1295
- **Mailing address:** 115 MOONEY DR, BOURBONNAIS, IL 60914-2147
- **Mailing address phone:** (815) 932-8443
- **Mailing address fax:** (815) 936-1295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | IL | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 08/13/2007