Evergreen Assessment & Consultation LLC
Evergreen Assessment & Consultation LLC is a Clinical Psychologist in Champaign, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
411 E Park St Ste 106Champaign, IL 61820-3862
Phone: (217) 714-7042
Fax: (866) 216-6514
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 Psychologist (primary) | Taxonomy 103TC0700X |
|---|
Record details
| NPI number | 1467134403 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Thomas-Stagg — Owner · (217) 714-7042 |
| NPI enumerated | August 1, 2023 |
| Last updated in NPPES | August 1, 2023 |
| Certification date | August 1, 2023 |
| Mailing address | 411 E Park St Ste 106, Champaign, IL 61820-3862 |
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