Graduated: 2002
NPI: 1356539316
Practice Locations (2)
EDGEWOOD CLINICAL SERVICES P.C.
103 W MAIN ST, SUITE 5
OBLONG, IL 624491165
8884287890
PIVOT COUNSELING AND CONSULTING, LTD
1205 E MAIN ST
ROBINSON, IL 624543726
6186551990
Source: CMS National Downloadable File, September 2026.