Individual provider · Type 1 NPI
Margo D. Bristow, MA, LPC, CADC, PCGC
Counselor · Downers Grove, IL
NPI number
1669935276
Active
Practice location
6912 Main St Ste 26
Downers Grove, IL 60516-3447
Fax (855) 791-1651
Mailing address
1142 Chicago Ave Ste 2W
Oak Park, IL 60302-1837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 178.004883 (IL) |
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 1669935276
Margo D. Bristow, MA, LPC, CADC, PCGC's National Provider Identifier is 1669935276, issued on Apr 10, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Downers Grove, IL. The record was last updated on Apr 10, 2019.