Northwest Treatment Associates

NPI #1790399319 in Woodstock, Illinois

Provider Information

NPI Number: 1790399319
Entity Type: Organization
Organization Name: Northwest Treatment Associates
Primary Specialty: Social Worker
Enumeration Date: Sep 1, 2020
Last Updated: Sep 1, 2020

Practice Location

Address: 645 MCHENRY AVE
City: Woodstock
State: Illinois
ZIP Code: 60098-2922
Phone: (815) 337-1234

Authorized Official

Name: GEORGIA ELLEN FLEMING
Title: BILLING SPECIALIST
Phone: (847) 608-8570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Social Worker	104100000X	Primary

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