| Willow Therapeutic | |
|
217 Glenwood Ave Willow Springs IL 60480-1307 | |
| (574) 238-0438 | |
| Not Available |
| Full Name | Willow Therapeutic |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 217 Glenwood Ave, Willow Springs, Illinois |
| Authorized Official Name and Position | Michelle C Gessler (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5742380438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Therapeutic 217 Glenwood Ave Willow Springs IL 60480-1307 Ph: (574) 238-0438 | Willow Therapeutic 217 Glenwood Ave Willow Springs IL 60480-1307 Ph: (574) 238-0438 |
| NPI Number | 1205549896 |
|---|---|
| Provider Enumeration Date | 12/29/2022 |
| Last Update Date | 12/29/2022 |
| Certification Date | 12/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205549896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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Willow Therapeutic, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 217 Glenwood Ave, Willow Springs, IL 60480 Phone: 574-238-0438 |