Organization
COUNSELING AND CONSULTING SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE W FABER PHD (CLINICAL PSYCHOLOGIST)
(630) 926-4873
Entity
Organization
Contact information
Practice address
1035 GROVE ST, DOWNERS GROVE, IL 60515-4636
(630) 926-4873
(630) 852-6335
Mailing address
1035 GROVE ST, DOWNERS GROVE, IL 60515-4636
(630) 926-7378
(630) 852-6335
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2223316
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/07/2010
Last updated
04/05/2019
Update your record
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