| Innovative Psychology Counseling Services, Inc. | |
|
4318 W Crystal Lake Rd Unit L Mchenry IL 60050-4210 | |
| (847) 508-2016 | |
| Not Available |
| Full Name | Innovative Psychology Counseling Services, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4318 W Crystal Lake Rd, Mchenry, Illinois |
| Authorized Official Name and Position | Donald Malczynski (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8475082016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Psychology Counseling Services, Inc. Po Box 541 Wonder Lake IL 60097-0541 Ph: () - | Innovative Psychology Counseling Services, Inc. 4318 W Crystal Lake Rd Unit L Mchenry IL 60050-4210 Ph: (847) 508-2016 |
| NPI Number | 1013378108 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 03/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013378108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180008289 (Illinois) | Primary |
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