Sage Counseling Of Southern Illinois | |
502 S Court St Marion IL 62959-2816 | |
(618) 993-3013 | |
(618) 998-8018 |
Full Name | Sage Counseling Of Southern Illinois |
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Speciality | Counselor - Mental Health |
Location | 502 S Court St, Marion, Illinois |
Authorized Official Name and Position | Cortney M Grassl (PROGRAM DIRECTOR) |
Authorized Official Contact | 6189933013 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sage Counseling Of Southern Illinois 502 S Court St Marion IL 62959-2816 Ph: (618) 993-3013 | Sage Counseling Of Southern Illinois 502 S Court St Marion IL 62959-2816 Ph: (618) 993-3013 |
NPI Number | 1720775893 |
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Provider Enumeration Date | 04/19/2023 |
Last Update Date | 05/15/2024 |
Certification Date | 05/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720775893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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