Ascend Chc, Lcc

NPI #1619302494 in Urbana, Illinois

Provider Information

NPI Number: 1619302494
Entity Type: Organization
Organization Name: Ascend Chc, Lcc
Subpart: Yes (part of a larger organization)
Parent Organization: ASCEND CHC, LCC
Primary Specialty: Dietitian, Registered
Enumeration Date: Sep 11, 2013
Last Updated: Sep 11, 2013

Practice Location

Address: 700 S GREGORY ST
Address 2: SUITE A
City: Urbana
State: Illinois
ZIP Code: 61801-3745
Phone: (217) 531-4796

Authorized Official

Name: DR. JENNY CONVISER, PSY.D
Title: OWNER, CEO
Phone: (312) 283-2650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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