| Counseling Associates Of Southern Illinois | |
|
1669 Windham Way Ste B O Fallon IL 62269-3072 | |
| (618) 622-2579 | |
| (618) 624-8506 |
| Full Name | Counseling Associates Of Southern Illinois |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1669 Windham Way Ste B, O Fallon, Illinois |
| Authorized Official Name and Position | Sheri Miller (PARTNER) |
| Authorized Official Contact | 6186222579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates Of Southern Illinois 1669 Windham Way Ste B O Fallon IL 62269-3072 Ph: (618) 622-2579 | Counseling Associates Of Southern Illinois 1669 Windham Way Ste B O Fallon IL 62269-3072 Ph: (618) 622-2579 |
| NPI Number | 1861769184 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 12/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861769184 | NPI | - | NPPES |
| 732-136 | Other | MO | HEALTHLINK |
| 0823180 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.007978 (Illinois) | Primary |
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