Creative Counseling Center, Inc. | |
701 S Lincoln Ave O Fallon IL 62269-2665 | |
(618) 632-0701 | |
(618) 222-1370 |
Full Name | Creative Counseling Center, Inc. |
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Speciality | Marriage & Family Therapist |
Location | 701 S Lincoln Ave, O Fallon, Illinois |
Authorized Official Name and Position | Linda J Cowden (PRESIDENT) |
Authorized Official Contact | 6186320701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Creative Counseling Center, Inc. Po Box 701 O Fallon IL 62269-0701 Ph: (618) 632-0701 | Creative Counseling Center, Inc. 701 S Lincoln Ave O Fallon IL 62269-2665 Ph: (618) 632-0701 |
NPI Number | 1184953929 |
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Provider Enumeration Date | 12/07/2009 |
Last Update Date | 12/07/2009 |
Identifier | Type | State | Issuer |
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1184953929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 166000342 (Illinois) | Primary |
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