The Lodestone Center for Behavioral Health, PC

NPI #1619448222 in Woodstock, Illinois

Provider Information

NPI Number: 1619448222
Entity Type: Organization
Organization Name: The Lodestone Center for Behavioral Health, PC
Primary Specialty: Psychologist
Enumeration Date: Dec 7, 2018
Last Updated: Apr 30, 2019

Practice Location

Address: 111 DEAN ST
City: Woodstock
State: Illinois
ZIP Code: 60098-3220
Phone: (815) 344-5061

Authorized Official

Name: DR. JEREMY T BIDWELL, PH.D.
Title: DIRECTOR
Phone: (815) 344-5961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Social Worker - Clinical — Clinical	1041C0700X
Marriage & Family Therapist	106H00000X
Psychologist	103T00000X	Primary

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