Provider Demographics
NPI:1235320334
Name:CLIENT-CENTERED COUNSELING ASSOCIATES, INC.
Entity Type:Organization
Organization Name:CLIENT-CENTERED COUNSELING ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:THEODORE
Authorized Official - Last Name:WELSCH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:815-954-6664
Mailing Address - Street 1:15726 S FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-5535
Mailing Address - Country:US
Mailing Address - Phone:815-577-6686
Mailing Address - Fax:
Practice Address - Street 1:15726 S FREDERICK ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-5535
Practice Address - Country:US
Practice Address - Phone:815-577-6686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty