Stone Bridge Counseling LLC

NPI #1306464201 in Peoria, Illinois

Provider Information

NPI Number
1306464201
Entity Type
Organization
Organization Name
Stone Bridge Counseling LLC
Primary Specialty
Counselor - Professional
Enumeration Date
Jul 8, 2020
Last Updated
Jul 8, 2020

Practice Location

Address
3526 N CALIFORNIA AVE STE 204
City
Peoria
ZIP Code
61603-1164
Phone
(815) 408-0522

Authorized Official

Name
MR. DANIEL RYNE OSTERLOO, LCPC
Title
COUNSELOR
Phone
(309) 251-9328

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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