Organization
INDEPENDENCE HEALTH & THERAPY
Active
Parent organization
INDEPENDENCE HEALTH & THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDEPENDENCE HEALTH & THERAPY
Authorized official
MARY FISHER (FINANCE DIRECTOR)
(815) 338-3590
Entity
Organization
Contact information
Practice address
708 WASHINGTON ST, WOODSTOCK, IL 60098-2265
(815) 338-1707
Mailing address
2028 N SEMINARY AVE, WOODSTOCK, IL 60098-2626
(815) 338-3590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
04/27/2023
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