| Autonomy Alliance Counseling Llc | |
|
100 Alamo Dr Washington IL 61571-2901 | |
| (309) 316-6440 | |
| Not Available |
| Full Name | Autonomy Alliance Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 100 Alamo Dr, Washington, Illinois |
| Authorized Official Name and Position | Mary Hosbrough (OWNER) |
| Authorized Official Contact | 3093166440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autonomy Alliance Counseling Llc 100 Alamo Dr Washington IL 61571-2901 Ph: (309) 316-6440 | Autonomy Alliance Counseling Llc 100 Alamo Dr Washington IL 61571-2901 Ph: (309) 316-6440 |
| NPI Number | 1164036042 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 09/08/2020 |
| Certification Date | 09/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164036042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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