| Dunham Counseling Center, Ltd. | |
| 451 Dunham Rd Suite 400 St Charles IL 60174-1431 | |
| (630) 444-1801 | |
| (630) 444-1802 | 
| Full Name | Dunham Counseling Center, Ltd. | 
|---|---|
| Speciality | Social Worker | 
| Location | 451 Dunham Rd, St Charles, Illinois | 
| Authorized Official Name and Position | Jeffrey Gerard Larson (PRESIDENT) | 
| Authorized Official Contact | 6304441801 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dunham Counseling Center, Ltd. 451 Dunham Rd Suite 400 St Charles IL 60174-1431 Ph: (630) 444-1801 | Dunham Counseling Center, Ltd. 451 Dunham Rd Suite 400 St Charles IL 60174-1431 Ph: (630) 444-1801 | 
| NPI Number | 1235255993 | 
|---|---|
| Provider Enumeration Date | 03/22/2007 | 
| Last Update Date | 10/23/2009 | 
| Medicare PECOS PAC ID | 1456418219 | 
|---|---|
| Medicare Enrollment ID | O20090323000033 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235255993 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.005583 (Illinois) | Secondary | 
| 1041C0700X | Social Worker - Clinical | 149.012296 (Illinois) | Primary | 
| Provider Name | Krista Lynn Sherinian | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1932250347 PECOS PAC ID: 7416963657 Enrollment ID: I20060227000130 | 
| Provider Name | Erin J Cluts | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1104077189 PECOS PAC ID: 4183689318 Enrollment ID: I20090202000580 | 
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