Organization
PRAIRIE WELLNESS COUNSELING CENTER, P.C.
Active
Other names
Prairie Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GOLES M.A.,L.C.P.C. (PRESIDENT)
(630) 715-5740
Entity
Organization
Contact information
Practice address
12 W WILSON ST, SUITE A, BATAVIA, IL 60510-2891
(630) 715-5740
Mailing address
12 W WILSON ST, SUITE A, BATAVIA, IL 60510-2891
(630) 715-5740
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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