Organization
COGNITIVE PATHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R STIVER LCPC (DIRECTOR / MENTAL HEALTH THERAPIST)
(224) 733-1615
Entity
Organization
Contact information
Practice address
2504 WASHINGTON ST, SUITE 403, WAUKEGAN, IL 60085-4983
(224) 733-1615
(224) 733-1620
Mailing address
2504 WASHINGTON ST, SUITE 403, WAUKEGAN, IL 60085-4983
(224) 733-1615
(224) 733-1620
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180008203
IL
Other
Enumeration date
06/01/2015
Last updated
11/18/2015
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