| Game Plan Therapy, LLC | |
|
2212 W Grace St Kankakee IL 60901-4591 | |
| (815) 662-5404 | |
| Not Available |
| Full Name | Game Plan Therapy, LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2212 W Grace St, Kankakee, Illinois |
| Authorized Official Name and Position | Suzette Jacob (OWNER/SOCIAL WORKER) |
| Authorized Official Contact | 8156625404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Game Plan Therapy, LLC 2212 W Grace St Kankakee IL 60901-4591 Ph: (815) 662-5404 | Game Plan Therapy, LLC 2212 W Grace St Kankakee IL 60901-4591 Ph: (815) 662-5404 |
| NPI Number | 1013790708 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013790708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
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