| Community Counseling Center, Ltd. | |
|
666 Russel Ct 105 Woodstock IL 60098-2670 | |
| (815) 338-7749 | |
| (815) 338-7728 |
| Full Name | Community Counseling Center, Ltd. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 666 Russel Ct, Woodstock, Illinois |
| Authorized Official Name and Position | Jeffrey Martin (PRESIDENT) |
| Authorized Official Contact | 8153387749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Center, Ltd. 666 Russel Ct 105 Woodstock IL 60098-2670 Ph: (815) 338-7749 | Community Counseling Center, Ltd. 666 Russel Ct 105 Woodstock IL 60098-2670 Ph: (815) 338-7749 |
| NPI Number | 1972623833 |
|---|---|
| Provider Enumeration Date | 04/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972623833 | NPI | - | NPPES |
| 05630307 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Illinois) | Primary |
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