| Abc Counseling And Family Services | |
|
313 N Mattis Ave Suite 115 Champaign IL 61821-2460 | |
| (217) 403-0790 | |
| (217) 403-0885 |
| Full Name | Abc Counseling And Family Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 313 N Mattis Ave, Champaign, Illinois |
| Authorized Official Name and Position | Lynn R Willard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3094519495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Counseling And Family Services 705 E Lincoln St Ste 303 Normal IL 61761-6406 Ph: (309) 451-9495 | Abc Counseling And Family Services 313 N Mattis Ave Suite 115 Champaign IL 61821-2460 Ph: (217) 403-0790 |
| NPI Number | 1558664557 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 06/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558664557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149014202 (Illinois) | Primary |
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