| Freeport Counseling Services, Llc | |
|
3000 Highland View Dr Freeport IL 61032-6936 | |
| (815) 297-3280 | |
| Not Available |
| Full Name | Freeport Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3000 Highland View Dr, Freeport, Illinois |
| Authorized Official Name and Position | Colleen Marie Williamson (PRESIDENT) |
| Authorized Official Contact | 8152973280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeport Counseling Services, Llc 3000 Highland View Dr Freeport IL 61032-6936 Ph: (815) 297-3280 | Freeport Counseling Services, Llc 3000 Highland View Dr Freeport IL 61032-6936 Ph: (815) 297-3280 |
| NPI Number | 1619116886 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/11/2009 |
| Medicare PECOS PAC ID | 7517319304 |
|---|---|
| Medicare Enrollment ID | O20240117002412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619116886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.006894 (Illinois) | Primary |
| Provider Name | Colleen Marie Williamson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255578019 PECOS PAC ID: 9335591122 Enrollment ID: I20240117002630 |
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