Organization
JOURNEY WELL THERAPY AND COACHING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN DIERKS LCSW (OWNER AND THERAPIST)
(563) 321-7650
Entity
Organization
Contact information
Practice address
408 11TH AVENUE, FULTON, IL 61252
(563) 321-7650
Mailing address
13109 SAND RD, FULTON, IL 61252-9853
(563) 321-7650
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/04/2020
Last updated
04/04/2020
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