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NPI Code Detail

MEDICARE: VALLEY DEEP COUNSELING, PLLC

MEDICARE: VALLEY DEEP COUNSELING, PLLC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1992574941
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY DEEP COUNSELING, PLLC
Provider Business Mailing Address
First Line : 3140 N VERMILION ST
Second Line : SUITE 202
City : DANVILLE
State : IL
Zip : 61832
Country : US
Telephone Number : 447-200-2442
Fax Number : 447-200-2444
Provider Business Practice Location Address
First Line : 3140 N VERMILON ST
Second Line : SUITE 202
City : DANVILLE
State : IL
Zip : 61832
Country : US
Telephone Number : 447-200-2442
Fax Number : 447-200-2444
Authorized Official
Title or Position : OWNER
Name : AMY CAMERON
Credential : LCSW
Telephone Number : 447-200-2442
Provider Enumeration Date : 01/01/2024
Last Update Date : 02/28/2026

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Directions to “VALLEY DEEP COUNSELING, PLLC ” Practice Location

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