Organization
NORTHWEST TREATMENT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA ELLEN FLEMING (BILLING SPECIALIST)
(847) 608-8570
Entity
Organization
Contact information
Practice address
645 MCHENRY AVE, WOODSTOCK, IL 60098-2922
(815) 337-1234
(815) 337-5653
Mailing address
645 MCHENRY AVE, WOODSTOCK, IL 60098-2922
(815) 337-1234
(815) 337-5653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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