Organization
CENTENNIAL COUNSELING CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY R BUHRT PSYD (EXECUTIVE DIRECTOR)
(630) 377-6613
Entity
Organization
Contact information
Practice address
1120 E MAIN ST, STE. 201, ST CHARLES, IL 60174-2287
(630) 377-6613
(630) 377-6225
Mailing address
1120 E MAIN ST, STE. 201, ST CHARLES, IL 60174-2287
(630) 377-6613
(630) 377-6225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
060-007517
IL
Other
Enumeration date
08/02/2005
Last updated
02/14/2023
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