| Agape Counseling, Ltd | |
|
75 E Queenwood Rd Morton IL 61550-2985 | |
| (309) 263-5565 | |
| (309) 263-9336 |
| Full Name | Agape Counseling, Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 75 E Queenwood Rd, Morton, Illinois |
| Authorized Official Name and Position | Eugene Vaccaro (OWNER) |
| Authorized Official Contact | 3092635565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Counseling, Ltd 75 E Queenwood Rd Morton IL 61550-2985 Ph: (309) 263-5565 | Agape Counseling, Ltd 75 E Queenwood Rd Morton IL 61550-2985 Ph: (309) 263-5565 |
| NPI Number | 1821070434 |
|---|---|
| Provider Enumeration Date | 11/18/2005 |
| Last Update Date | 08/18/2010 |
| Medicare PECOS PAC ID | 1052376431 |
|---|---|
| Medicare Enrollment ID | O20041124000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821070434 | NPI | - | NPPES |
| Provider Name | Elizabeth J Garner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881603611 PECOS PAC ID: 0941468946 Enrollment ID: I20120222000461 |
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