Organization
CREATIVE COUNSELING FOR HEALTHY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER WELVAERT-KOCH MS. ED, LCPC (COUNSELOR)
(309) 429-8959
Entity
Organization
Contact information
Practice address
5030 38TH AVE STE 10&11, MOLINE, IL 61265-6717
(309) 429-8959
Mailing address
5030 38TH AVE STE 10&11, MOLINE, IL 61265-6717
(309) 429-8959
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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