Individual provider · Type 1 NPI

Courtney Street, BSW

Counselor · Champaign, IL

NPI number 1043652126 Active

Practice location

202 W Park Ave
Champaign, IL 61820-3929

Call (217) 693-4613 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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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About NPI 1043652126

Courtney Street, BSW's National Provider Identifier is 1043652126, issued on Jul 18, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Champaign, IL. The record was last updated on Jul 18, 2013.