Organization
THE COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R. BAER M.A. (PRESIDENT)
(815) 477-7481
Entity
Organization
Contact information
Practice address
735 MCARDLE DR, UNIT C, CRYSTAL LAKE, IL 60014-1702
(815) 455-3400
(815) 477-1880
Mailing address
735 MCARDLE DR, UNIT C, CRYSTAL LAKE, IL 60014-1702
(815) 455-3400
(815) 477-1880
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A- 2019-0001-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL-05615112
BLUE-CROSS BLUES- ILLINOI
IL
Enumeration date
01/03/2008
Last updated
01/03/2008
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