institution
Martin Srajek, Phd., Lcsw, Ltd
Mental Health Clinic/Center (Including Community Mental Health Center) in Champaign, Illinois
NPI 1154955037

Martin Srajek, Phd., Lcsw, Ltd is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Champaign, IL and is specialized in Mental Health (Including Community Mental Health Center). Martin Srajek, Phd., Lcsw, Ltd practices in Champaign, IL. The NPI Number for Martin Srajek, Phd., Lcsw, Ltd is 1154955037 and holds a License No. (Illinois).

The current practice location address for Martin Srajek, Phd., Lcsw, Ltd is 206 N Randolph St Ste 534-36, Champaign, IL and can be reached out via phone at 217-637-2138 and via fax at 217-355-4911. You can also correspond with Martin Srajek, Phd., Lcsw, Ltd through the mailing address at 206 N RANDOLPH ST STE 534-36, CHAMPAIGN, IL - 61820-3949 (mailing address contact number: 217-637-2138).

Location: 206 N Randolph St Ste 534-36, Champaign, IL, 61820-3949
institution
Provider Profile Details
NPI Number
1154955037
Provider Name
Martin Srajek, Phd., Lcsw, Ltd
Credential
Provider Entity Type
Organization
Address
206 N Randolph St Ste 534-36, Champaign, IL, 61820-3949
Phone Number
217-637-2138
Fax Number
217-355-4911
Provider Enumeration Date
02/28/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
S622-5686-1037 01 IL DRIVERS LICENSE
1730392481 01 IL INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
206 N Randolph St Ste 534-36
City
State
Zip
61820-3949
Phone Number
217-637-2138
Fax Number
217-355-4911
person
Provider Business Mailing Address Details
Address
206 N Randolph St Ste 534-36
City
State
Zip
61820-3949
Phone Number
217-637-2138
Fax Number
217-355-4911
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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