institution
Counseling For A Change
Professional Counselor in Goreville, Illinois
NPI 1285803072

Counseling For A Change is a Professional Counselor based in Goreville, IL and is specialized in Professional. Counseling For A Change practices in Goreville, IL. The NPI Number for Counseling For A Change is 1285803072 and holds a License No. 180006639 (Illinois).

The current practice location address for Counseling For A Change is 70 Sandy Pt, Goreville, IL and can be reached out via phone at 618-889-3987 and via fax at 618-351-1419.

Location: 70 Sandy Pt, Goreville, IL, 62939-3122
institution
Provider Profile Details
NPI Number
1285803072
Provider Name
Counseling For A Change
Credential
Provider Entity Type
Organization
Address
70 Sandy Pt, Goreville, IL, 62939-3122
Phone Number
618-889-3987
Fax Number
618-351-1419
Provider Enumeration Date
02/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180006639 01 IL STATE LICENSE, LCPC
11826508 01 IL CAQH
03932079 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
70 Sandy Pt
City
State
Zip
62939-3122
Phone Number
618-889-3987
Fax Number
618-351-1419
person
Provider Business Mailing Address Details
Address
70 Sandy Pt
City
State
Zip
62939-3122
Phone Number
618-889-3987
Fax Number
618-351-1419
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180006639 (Illinois)
Definition
Definition to come...
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