Stillwater Center for Wellness PC
NPI #1134787989 in Springfield, Illinois
Provider Information
- NPI Number
- 1134787989
- Entity Type
- Organization
- Organization Name
- Stillwater Center for Wellness PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STILLWATER CENTER FOR WELLNESS PC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 5, 2019
- Last Updated
- Jun 5, 2019
Practice Location
- Address
- 435 W WASHINGTON ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-5006
- Phone
- (217) 303-5331
Authorized Official
- Name
- MR. DAVID VAIL, LCSW
- Title
- OWNER
- Phone
- (217) 303-5331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Counseling — Counseling |
| Social Worker - Clinical — Clinical |
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