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Organization
STONE BRIDGE COUNSELING LLC
Active
Organization
STONE BRIDGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL RYNE OSTERLOO LCPC (COUNSELOR)
(309) 251-9328
Entity
Organization
Contact information
Practice address
3526 N CALIFORNIA AVE STE 204, PEORIA, IL 61603-1164
(815) 408-0522
Mailing address
418 W MICHIGAN AVE, METAMORA, IL 61548-9632
(309) 251-9328
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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