MRS. Joan M. Bistry, M.A., N.C.C.A.

NPI #1669750139 in Dwight, Illinois

Provider Information

NPI Number: 1669750139
Entity Type: Individual
Name: MRS. Joan M. Bistry, M.A., N.C.C.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: M.A., N.C.C.A.
Enumeration Date: Aug 1, 2011
Last Updated: Aug 1, 2011

Practice Location

Address: 318 W CHIPPEWA ST
City: Dwight
State: Illinois
ZIP Code: 60420-1206
Phone: (815) 584-9312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Pastoral — Pastoral	101YP1600X
Counselor	101Y00000X	Primary

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