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Courtney Street, BSW
Counselor in Champaign, Illinois
NPI 1043652126

Courtney Street is a Counselor based in Champaign, IL. Courtney Street practices in Champaign, IL and has the professional credentials of BSW. The NPI Number for Courtney Street is 1043652126 and holds a License No. (Illinois).

The current practice location address for Courtney Street is 202 W Park Ave, Champaign, IL and can be reached out via phone at 217-693-4613.

Location: 202 W Park Ave, Champaign, IL, 61820-3929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043652126
Provider Name
Courtney Street
Credential
BSW
Provider Entity Type
Individual
Gender
Female
Address
202 W Park Ave, Champaign, IL, 61820-3929
Phone Number
217-693-4613
Fax Number
Provider Enumeration Date
07/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
202 W Park Ave
City
Champaign
State
Illinois
Zip
61820-3929
Phone Number
217-693-4613
Fax Number
person
Provider Business Mailing Address Details
Address
202 W Park Ave
City
Champaign
State
Illinois
Zip
61820-3929
Phone Number
217-693-4613
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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