| Clinical Counseling, Ltd | |
|
3001 Spring Mill Dr Springfield IL 62704-6566 | |
| (217) 793-8900 | |
| (217) 793-8389 |
| Full Name | Clinical Counseling, Ltd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3001 Spring Mill Dr, Springfield, Illinois |
| Authorized Official Name and Position | Leslie J Fyans (OFFICER) |
| Authorized Official Contact | 2177938900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Counseling, Ltd 3001 Spring Mill Dr Springfield IL 62704-6566 Ph: (217) 793-8900 | Clinical Counseling, Ltd 3001 Spring Mill Dr Springfield IL 62704-6566 Ph: (217) 793-8900 |
| NPI Number | 1396996971 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396996971 | NPI | - | NPPES |
| 8472017 | Other | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-002360 (Illinois) | Primary |
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