Organization
DUNHAM COUNSELING CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY GERARD LARSON LCSW (PRESIDENT)
(630) 444-1801
Entity
Organization
Contact information
Practice address
451 DUNHAM RD, SUITE 400, ST CHARLES, IL 60174-1431
(630) 444-1801
(630) 444-1802
Mailing address
451 DUNHAM RD, SUITE 400, ST CHARLES, IL 60174-1431
(630) 444-1801
(630) 444-1802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.005583
IL
1041C0700X
Clinical Social Worker
Primary
149.012296
IL
Other
Enumeration date
03/22/2007
Last updated
10/23/2009
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