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Organization

THE LODESTONE CENTER FOR BEHAVIORAL HEALTH, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEREMY T BIDWELL PH.D. (DIRECTOR)
(815) 344-5961
Entity
Organization

Contact information

Practice address
111 DEAN ST, WOODSTOCK, IL 60098-3220
(815) 344-5061
Mailing address
111 DEAN ST, WOODSTOCK, IL 60098-3220
(847) 802-4058

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
Primary
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Enumeration date
12/07/2018
Last updated
04/30/2019
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