Prairie Wellness Counseling Center, P.c.

NPI #1245661057 in Batavia, Illinois

Provider Information

NPI Number: 1245661057
Entity Type: Organization
Organization Name: Prairie Wellness Counseling Center, P.c.
Primary Specialty: Counselor
Enumeration Date: Dec 4, 2013
Last Updated: Dec 4, 2013

Practice Location

Address: 12 W WILSON ST
Address 2: SUITE A
City: Batavia
State: Illinois
ZIP Code: 60510-2891
Phone: (630) 715-5740

Authorized Official

Name: MATTHEW GOLES, M.A.,L.C.P.C.
Title: PRESIDENT
Phone: (630) 715-5740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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