Organization
ABOUT CHANGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CHARLES IDERAN LCPC (DIRECTOR)
(847) 668-8969
Entity
Organization
Contact information
Practice address
1532 WEATHERSTONE LN, ELGIN, IL 60123-2019
(847) 668-8969
(847) 488-1401
Mailing address
1532 WEATHERSTONE LN, ELGIN, IL 60123-2019
(847) 668-8969
(847) 488-1401
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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