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Organization
NORTHWEST TREATMENT ASSOCIATES, INC.
Active
Organization
NORTHWEST TREATMENT ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL A FETZNER LCPC (EXECUTIVE DIRECTOR)
(815) 337-1234
Entity
Organization
Contact information
Practice address
645 MCHENRY AVE, WOODSTOCK, IL 60098-2922
(815) 337-1234
(815) 337-5653
Mailing address
645 MCHENRY AVE, WOODSTOCK, IL 60098-2922
(815) 337-1234
(815) 337-5653
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180 000371
IL
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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