Aeon Social Emotional Health | |
5016 N University St Suite 109 Peoria IL 61614-4781 | |
(309) 573-4834 | |
(312) 254-1423 |
Full Name | Aeon Social Emotional Health |
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Speciality | Counselor - Professional |
Location | 5016 N University St, Peoria, Illinois |
Authorized Official Name and Position | Kevin Mcclure (OWNER) |
Authorized Official Contact | 3095734834 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aeon Social Emotional Health Po Box 9665 Peoria IL 61612-9665 Ph: () - | Aeon Social Emotional Health 5016 N University St Suite 109 Peoria IL 61614-4781 Ph: (309) 573-4834 |
NPI Number | 1528387644 |
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Provider Enumeration Date | 05/28/2010 |
Last Update Date | 05/28/2010 |
Identifier | Type | State | Issuer |
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1528387644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180006803 (Illinois) | Primary |
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