| Mind Medic Counseling Pllc | |
|
1415 Edgerton Drive Joliet IL 60435 | |
| (815) 630-7878 | |
| Not Available |
| Full Name | Mind Medic Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1415 Edgerton Drive, Joliet, Illinois |
| Authorized Official Name and Position | Mckenzie Mieszkowski (OWNER) |
| Authorized Official Contact | 8156307878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Medic Counseling Pllc 2405 Essington Rd Suite B #1037 Joliet IL 60435-1204 Ph: (815) 630-7878 | Mind Medic Counseling Pllc 1415 Edgerton Drive Joliet IL 60435 Ph: (815) 630-7878 |
| NPI Number | 1689421273 |
|---|---|
| Provider Enumeration Date | 05/02/2024 |
| Last Update Date | 05/02/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689421273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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