| Advanced Counseling Evaluation Treatment And Dui Services | |
|
705 E Lincoln St Suite 204 Normal IL 61761-6406 | |
| (309) 808-1017 | |
| Not Available |
| Full Name | Advanced Counseling Evaluation Treatment And Dui Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 705 E Lincoln St, Normal, Illinois |
| Authorized Official Name and Position | Michael Adam Burash (COUNSELOR) |
| Authorized Official Contact | 8153435691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Counseling Evaluation Treatment And Dui Services 705 E Lincoln St Suite 204 Normal IL 61761-6406 Ph: (309) 808-1017 | Advanced Counseling Evaluation Treatment And Dui Services 705 E Lincoln St Suite 204 Normal IL 61761-6406 Ph: (309) 808-1017 |
| NPI Number | 1104378579 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104378579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A75150001A (Illinois) | Primary |
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