MEDICARE: ABBY BOTTORFF COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1467253278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABBY BOTTORFF COUNSELING

Provider Business Mailing Address
First Line	:	144 WESTWOOD DR
Second Line	:
City	:	PARK FOREST
State	:	IL
Zip	:	60466-1344
Country	:	US
Telephone Number	:	563-293-1402
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 LOCUST ST STE 135
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-6700
Country	:	US
Telephone Number	:	563-293-1402
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH COUNSELOR
Name	:	ABIGAIL BOTTORFF
Credential	:	LMHC, LCPC, NCC
Telephone Number	:	217-622-2324

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	03/19/2025

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