| Footbridge Counseling And Supervision | |
|
107 W Main St Belleville IL 62220-1501 | |
| (618) 978-2812 | |
| Not Available |
| Full Name | Footbridge Counseling And Supervision |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 107 W Main St, Belleville, Illinois |
| Authorized Official Name and Position | Marti L Baricevic (OWNER) |
| Authorized Official Contact | 6189782823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Footbridge Counseling And Supervision 27 Marilyn Cir Fairview Heights IL 62208-2853 Ph: (618) 978-2812 | Footbridge Counseling And Supervision 107 W Main St Belleville IL 62220-1501 Ph: (618) 978-2812 |
| NPI Number | 1457181471 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457181471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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