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Organization
WATERFORD COUNSELING AND PSYCHOLOGICAL SERVICES, PC
Active
Organization
WATERFORD COUNSELING AND PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L COLEMAN PSY.D. (CLINICAL PSYCHOLOGIST)
(630) 898-5322
Entity
Organization
Contact information
Practice address
1256 WATERFORD DR, SUITE 140, AURORA, IL 60504-4510
(630) 898-5322
(630) 898-5324
Mailing address
1256 WATERFORD DR, SUITE 140, AURORA, IL 60504-4510
(630) 898-5322
(630) 898-5324
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180007319
IL
101YP2500X
Professional Counselor
180008137
IL
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
071006641
IL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
149007223
IL
1041C0700X
Clinical Social Worker
149007369
IL
Other
Enumeration date
08/28/2013
Last updated
12/15/2023
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