Organization
BRIDGE LIFE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEISHA MARIE HOPPE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(779) 537-8544
Entity
Organization
Contact information
Practice address
1120 FREMONT ST, BELVIDERE, IL 61008-5315
(779) 537-8544
Mailing address
1120 FREMONT ST, BELVIDERE, IL 61008-5315
(779) 537-8544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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