Organization
NGM COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY GOODRICH MITTS PHD (LICENSED CLINICAL PSYCHOLOGIST)
(217) 666-7044
Entity
Organization
Contact information
Practice address
907 W MARKETVIEW DR STE 10226, CHAMPAIGN, IL 61822-1227
(217) 666-7044
Mailing address
907 W MARKETVIEW DR STE 10226, CHAMPAIGN, IL 61822-1227
(217) 666-7044
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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