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NPI Code Detail

MEDICARE: BUDZYNSKI COUNSELING SERVICES INC.

MEDICARE: BUDZYNSKI COUNSELING SERVICES INC.
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1689990699
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUDZYNSKI COUNSELING SERVICES INC.
Provider Business Mailing Address
First Line : 7124 WINDSOR LAKE PKWY
Second Line : SUITE # 10
City : LOVES PARK
State : IL
Zip : 61111-3800
Country : US
Telephone Number : 815-633-8688
Fax Number : 815-633-8299
Provider Business Practice Location Address
First Line : 7124 WINDSOR LAKE PKWY
Second Line : SUITE # 10
City : LOVES PARK
State : IL
Zip : 61111-3800
Country : US
Telephone Number : 815-633-8688
Fax Number : 815-633-8299
Authorized Official
Title or Position : OWNER/CEO
Name : MR. JOHN ANDREW BUDZYNSKI
Credential : L.C.P.C.
Telephone Number : 815-633-8688
Provider Enumeration Date : 04/15/2010
Last Update Date : 04/15/2010

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Directions to “BUDZYNSKI COUNSELING SERVICES INC. ” Practice Location

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