Clinical Counseling Group & Dui Providers, Llc | |
701 S Durkin Dr Suite B Springfield IL 62704-6029 | |
(217) 726-7575 | |
(217) 726-7577 |
Full Name | Clinical Counseling Group & Dui Providers, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 701 S Durkin Dr, Springfield, Illinois |
Authorized Official Name and Position | Nancy Jo Crawford (CFO) |
Authorized Official Contact | 2177250039 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clinical Counseling Group & Dui Providers, Llc 701 S Durkin Dr Suite B Springfield IL 62704-6029 Ph: (217) 726-7575 | Clinical Counseling Group & Dui Providers, Llc 701 S Durkin Dr Suite B Springfield IL 62704-6029 Ph: (217) 726-7575 |
NPI Number | 1124316468 |
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Provider Enumeration Date | 07/20/2011 |
Last Update Date | 07/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124316468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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