Dr. Madison Beresford
Counselor Pastoral Counselor Mental Health Counselor
265 Exchange Dr Suite 101b
Crystal Lake
, Illinois 60014-6230
Dr. Madison Beresford
Counselor Pastoral Counselor Mental Health Counselor
265 Exchange Dr Suite 101b
Crystal Lake
, Illinois 60014-6230
(224) 286-4673
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About
Features
Specialties
- Counselor
- Mental Health Counselor
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Dr. Madison Beresford
- 265 Exchange Dr Suite 101b
- Crystal Lake, IL
- Zip : 60014-6230
- Phone : (224) 286-4673
Second Address
- Dr. Madison Beresford
- 265 Exchange Dr Suite 101b
- Crystal Lake, IL
- Zip : 60014-6230
- Phone : (224) 286-4673
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | ||
| N | 101YM0800X | Mental Health Counselor | ||
| Y | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1215392659 |
|---|---|
| Provider Name | Dr. Madison Beresford |
| First Address | Crystal Lake, IL 60014-6230 |
| Second Address | Crystal Lake, IL 60014-6230 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/12/2015 |
| Last Update Date | 04/01/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.