| Counselors Associates | |
|
3 Oak Dr Ste B Maryville IL 62062-5635 | |
| (618) 972-1568 | |
| (618) 205-3561 |
| Full Name | Counselors Associates |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3 Oak Dr Ste B, Maryville, Illinois |
| Authorized Official Name and Position | Kristin Roberts (PRESIDENT) |
| Authorized Official Contact | 6189723191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counselors Associates 3 Oak Dr Ste B Maryville IL 62062-5635 Ph: (618) 972-1568 | Counselors Associates 3 Oak Dr Ste B Maryville IL 62062-5635 Ph: (618) 972-1568 |
| NPI Number | 1922399682 |
|---|---|
| Provider Enumeration Date | 04/28/2011 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922399682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180007781 (Illinois) | Primary |
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