Edgar Kobel Wolgamot in Peoria - Counselor
Edgar Kobel Wolgamot - NPI 1417053612
Edgar Kobel Wolgamot is a Counselor in Peoria, Illinois. Edgar Kobel Wolgamot practices all healthcare services and medical treatments related to Counselor. The NPI Number for Edgar Kobel Wolgamot is 1417053612. The last update date is 2007-07-08.
Edgar Kobel Wolgamot's current location address is 6615 N Big Hollow Rd, Peoria, Illinois. You can contact this provider via phone number 3096926622 and fax number 3096926952. The mailing address for Edgar Kobel Wolgamot is 6615 N Big Hollow Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Kobel Wolgamot |
|---|---|
| Address | 6615 N Big Hollow Rd, Peoria, Illinois |
| Phone Number | 3096926622 |
| Fax Number | 3096926952 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1417053612 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6615 N Big Hollow Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616152451 |
| Phone Number | 3096926622 |
| Fax Number | 3096926952 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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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 supe |
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Post Comment/ Review Below
What is the unique identifier code issued to Edgar Kobel Wolgamot by the Centers for Medicare & Medicaid Services (CMS)?
The Edgar Kobel Wolgamot has been assigned the NPI (National Provider Identifier) 1417053612. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Edgar Kobel Wolgamot is physically located?
The Edgar Kobel Wolgamot is physically situated at the following address: 6615 N Big Hollow Rd, Peoria, IL, 616152451.
What is the Edgar Kobel Wolgamot's area of specialization and corresponding taxonomy classification?
The Edgar Kobel Wolgamot's specialty field is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1417053612 assigned to Edgar Kobel Wolgamot?
The Edgar Kobel Wolgamot was issued its 1417053612 on 2006-09-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Edgar Kobel Wolgamot's information last updated?
The Edgar Kobel Wolgamot's information was last updated on 2007-07-08.