Organization
CATHOLIC CHARITIES COUNSELING
Active
Organization
CATHOLIC CHARITIES COUNSELING
Active
Other names
CATHOLIC CHARITIES - DIOCESE OF ROCKFORD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON CHRISTENSEN (ASST. DIRECTOR)
(815) 965-0623
Entity
Organization
Contact information
Practice address
102 S MADISON ST, ROCKFORD, IL 61104-1102
(815) 965-0623
(815) 962-9036
Mailing address
102 S MADISON ST, ROCKFORD, IL 61104-1102
(815) 965-0623
(815) 962-9036
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10132028
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
08/07/2006
Last updated
08/22/2020
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