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Organization
PRAIRIE PATH COUNSELING, P.C.
Active
Organization
PRAIRIE PATH COUNSELING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CHRISTIANSEN (OFFICE MANAGER)
(402) 639-1214
Entity
Organization
Contact information
Practice address
615 W FRONT ST, WHEATON, IL 60187-4935
(630) 231-5960
Mailing address
146 E BLAIR ST, WEST CHICAGO, IL 60185-3408
(402) 639-1214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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