| Fireside Counseling LLC | |
|
101 1/2 E Front St Suite 106 Wheaton IL 60187-5334 | |
| (630) 239-7227 | |
| Not Available |
| Full Name | Fireside Counseling LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 101 1/2 E Front St, Wheaton, Illinois |
| Authorized Official Name and Position | Mark L Ramirez (SR. STAFF THERAPIST) |
| Authorized Official Contact | 6302397227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fireside Counseling LLC 101 1/2 E Front St Suite 106 Wheaton IL 60187-5334 Ph: (630) 239-7227 | Fireside Counseling LLC 101 1/2 E Front St Suite 106 Wheaton IL 60187-5334 Ph: (630) 239-7227 |
| NPI Number | 1508258732 |
|---|---|
| Provider Enumeration Date | 02/25/2015 |
| Last Update Date | 02/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508258732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180000241 (Illinois) | Primary |
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