| Rebecca Ciesla, Llc | |
|
600 Dakota St Ste B-101 Crystal Lake IL 60012-3742 | |
| (815) 446-1960 | |
| Not Available |
| Full Name | Rebecca Ciesla, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 600 Dakota St Ste B-101, Crystal Lake, Illinois |
| Authorized Official Name and Position | Rebecca Ciesla (OWNER/THERAPIST) |
| Authorized Official Contact | 5099548815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Ciesla, Llc 2149 Greenview Dr Woodstock IL 60098-7016 Ph: () - | Rebecca Ciesla, Llc 600 Dakota St Ste B-101 Crystal Lake IL 60012-3742 Ph: (815) 446-1960 |
| NPI Number | 1073316261 |
|---|---|
| Provider Enumeration Date | 03/31/2025 |
| Last Update Date | 03/31/2025 |
| Certification Date | 03/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073316261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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