| East Peoria Counseling Llc | |
|
252 E Washington St Ste D East Peoria IL 61611-2563 | |
| (331) 871-0280 | |
| Not Available |
| Full Name | East Peoria Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 252 E Washington St Ste D, East Peoria, Illinois |
| Authorized Official Name and Position | Kyle Lane Pearson (THERAPIST/OWNER) |
| Authorized Official Contact | 3093395291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Peoria Counseling Llc 106 Smiley Ct Washington IL 61571-1034 Ph: (309) 339-5291 | East Peoria Counseling Llc 252 E Washington St Ste D East Peoria IL 61611-2563 Ph: (331) 871-0280 |
| NPI Number | 1447931779 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447931779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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