Organization
CLEAR MOUNTAIN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN MARIE ANDERSON PHD (PSYCHOLOGIST/OWNER)
(630) 631-2180
Entity
Organization
Contact information
Practice address
1250 EXECUTIVE PL, SUITE 404, GENEVA, IL 60134-3807
(630) 631-2180
(630) 578-0226
Mailing address
1250 EXECUTIVE PL, SUITE 404, GENEVA, IL 60134-3807
(630) 631-2180
(630) 578-0226
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
071006406
IL
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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