| Equip Christian Counseling, Pllc | |
|
917 N Walnut St Ste 101-15 Danville IL 61832-3911 | |
| (770) 515-8835 | |
| Not Available |
| Full Name | Equip Christian Counseling, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 917 N Walnut St Ste 101-15, Danville, Illinois |
| Authorized Official Name and Position | Tracy Grissom (LCPC) |
| Authorized Official Contact | 7705158835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equip Christian Counseling, Pllc 917 N Walnut St Ste 101-15 Danville IL 61832-3911 Ph: (770) 515-8835 | Equip Christian Counseling, Pllc 917 N Walnut St Ste 101-15 Danville IL 61832-3911 Ph: (770) 515-8835 |
| NPI Number | 1861221392 |
|---|---|
| Provider Enumeration Date | 08/01/2024 |
| Last Update Date | 08/01/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861221392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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