| Dana Pauley Lcpc Llc | |
|
155 W Prairiefield Ave Cortland IL 60112-4142 | |
| (630) 217-0442 | |
| Not Available |
| Full Name | Dana Pauley Lcpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 155 W Prairiefield Ave, Cortland, Illinois |
| Authorized Official Name and Position | Dana Pauley (OWNER) |
| Authorized Official Contact | 6302170442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Pauley Lcpc Llc 155 W Prairiefield Ave Cortland IL 60112-4142 Ph: (630) 217-0442 | Dana Pauley Lcpc Llc 155 W Prairiefield Ave Cortland IL 60112-4142 Ph: (630) 217-0442 |
| NPI Number | 1114733490 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114733490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |