Blue Moon Senior Counseling of Illinois LLC
Blue Moon Senior Counseling of Illinois LLC is a Clinical Social Worker in Plainfield, Illinois. Registered with an NPI since 2012.
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10204 Bode St Ste BPlainfield, IL 60585-9813
Phone: (855) 241-7160
Fax: (954) 465-5142
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1841562931 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melanie Donohue — Authorized Official · (855) 241-7160 |
| NPI enumerated | February 3, 2012 |
| Last updated in NPPES | September 20, 2019 |
| Mailing address | 10204 Bode St Ste B, Plainfield, IL 60585-9813 |
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