Organization
FIRST BAPTIST COUNSELIGN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON POLAND LCPC (DIRECTOR)
(847) 695-8700
Entity
Organization
Contact information
Practice address
1735 W HIGHLAND AVE, ELGIN, IL 60123-5056
(847) 695-8700
Mailing address
1735 W HIGHLAND AVE, ELGIN, IL 60123-5056
(847) 695-8700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4598162
BCBS
IL
Enumeration date
01/11/2007
Last updated
08/22/2020
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