Codie Surratt

NPI #1679024061 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1679024061
Entity Type: Individual
Name: Codie Surratt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 20, 2016
Last Updated: Sep 11, 2024

Practice Location

Address: 800 ROOSEVELT RD STE 206
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-5839
Phone: (630) 423-5935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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