Organization Name: | CENTRAL DUPAGE PASTORAL COUNSELING CENTER |
NPI Number: | 1063401206 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES NATTER (DIRECTOR OF COUNSELING SERVICES) |
Mailing Address: | 507 Thornhill Dr Suite A Carol Stream |
State: | IL US |
Postal Code: | 601882706 |
Phone Number: | 6307529750 |
Fax Number: | 6307529768 |
NPI Enumeration Date: | 10/20/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |