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Perry County Counseling Center Inc
Clinical Social Worker in Du Quoin, Illinois
NPI 1851533996

Perry County Counseling Center Inc is a Clinical Social Worker based in Du Quoin, IL and is specialized in Clinical. Perry County Counseling Center Inc practices in Du Quoin, IL. The NPI Number for Perry County Counseling Center Inc is 1851533996 and holds a License No. 149012186 (Illinois).

The current practice location address for Perry County Counseling Center Inc is 8271 E Jackson Street Rd, Du Quoin, IL and can be reached out via phone at 618-542-6722 and via fax at 618-542-6623.

Location: 8271 E Jackson Street Rd, Du Quoin, IL, 62832-3811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851533996
Provider Name
Perry County Counseling Center Inc
Credential
Provider Entity Type
Organization
Address
8271 E Jackson Street Rd, Du Quoin, IL, 62832-3811
Phone Number
618-542-6722
Fax Number
618-542-6623
Provider Enumeration Date
04/06/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
012300790 05 IL
institution
Provider Business Practice Location Address Details
Address
8271 E Jackson Street Rd
City
Du Quoin
State
Illinois
Zip
62832-3811
Phone Number
618-542-6722
Fax Number
618-542-6623
person
Provider Business Mailing Address Details
Address
8271 E Jackson Street Rd
City
Du Quoin
State
Illinois
Zip
62832-3811
Phone Number
618-542-6722
Fax Number
618-542-6623
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
180004366 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180004129 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
180003682 (Illinois)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
149012186 (Illinois)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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