| Brandon Clinton, | |
|
7425 Janes Ave Ste 205, Woodridge, IL 60517-2323 | |
| (217) 850-1133 | |
| (617) 807-0958 |
| Full Name | Brandon Clinton |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 7425 Janes Ave Ste 205, Woodridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194612564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180016035 (Illinois) | Primary |
| Entity Name | Thriveworks Clinical - Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Clinton, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483 | Brandon Clinton, 7425 Janes Ave Ste 205, Woodridge, IL 60517-2323 Ph: (217) 850-1133 |
Lynsey Lattyak, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3329 75th St., 2nd Fl., Woodridge, IL 60517 Phone: 630-964-9400 Fax: 630-964-9375 |
Tanya Coloka, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7654 Woodview Dr, Woodridge, IL 60517 Phone: 708-932-3319 |
Anna Leigh Lezon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6520 Double Eagle Dr Unit 420, Woodridge, IL 60517 Phone: 815-341-3730 |
Juliana Ferrusquia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3540 Seven Bridges Dr, Woodridge, IL 60517 Phone: 708-232-8550 |
Jennifer Ann Horton, LCPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 3329 75th Street, Suite 200, Woodridge, IL 60517 Phone: 630-305-5118 |
Dr. Anne Adrian, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 Hobson Rd Ste 201, Woodridge, IL 60517 Phone: 630-506-1491 |
Michele Piccozzi Albert, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 Hobson Rd Ste 201, Woodridge, IL 60517 Phone: 630-506-1491 |