Organization
FOX VALLEY COUNSELING CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MCMILLAN LCSW (OWNER)
(630) 399-2935
Entity
Organization
Contact information
Practice address
143 FIRST ST STE 201, BATAVIA, IL 60510-3102
(630) 399-2935
(630) 859-1800
Mailing address
PO BOX 392, NORTH AURORA, IL 60542-0138
(630) 399-2935
(630) 859-1800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149012301
IL
Other
Enumeration date
03/28/2013
Last updated
04/15/2014
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