Organization
BEHAVIORAL HEALTH PROVIDERS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MCTAGUE PSYD (PRESIDENT)
(888) 291-2538
Entity
Organization
Contact information
Practice address
1100 COUGAR TRL, CARY, IL 60013-6057
(888) 291-2538
(847) 516-2510
Mailing address
1100 COUGAR TRL, CARY, IL 60013-6057
(888) 291-2538
(847) 516-2510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.005495
IL
101YP2500X
Professional Counselor
180.006237
IL
103TC0700X
Clinical Psychologist
Primary
071.004573
IL
1041C0700X
Clinical Social Worker
149.007141
IL
Other
Enumeration date
11/09/2006
Last updated
08/11/2011
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