Organization
CENTRAL DUPAGE PASTORAL COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NANCY COCHRAN PSYD (EXECUTIVE DIRECTOR)
(630) 752-9750
Entity
Organization
Contact information
Practice address
507 THORNHILL DR, SUITE A, CAROL STREAM, IL 60188-2706
(630) 752-9750
(630) 752-9768
Mailing address
507 THORNHILL DR, SUITE A, CAROL STREAM, IL 60188-2706
(630) 752-9750
(630) 752-9768
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
178001992
IL
101YP2500X
Professional Counselor
180002208
IL
101YP2500X
Professional Counselor
180005369
IL
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
071004746
IL
103TC0700X
Clinical Psychologist
071006345
IL
103TC0700X
Clinical Psychologist
071006372
IL
103TC0700X
Clinical Psychologist
178002569
IL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/20/2005
Last updated
06/03/2021
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