| Harrisburg Counseling Center Llc | |
|
100 Dr Warren Tuttle Drive Harrisburg IL 62946 | |
| (618) 252-4956 | |
| (618) 252-2032 |
| Full Name | Harrisburg Counseling Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 100 Dr Warren Tuttle Drive, Harrisburg, Illinois |
| Authorized Official Name and Position | Mario L Gospodinoff (OWNER) |
| Authorized Official Contact | 6182524956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrisburg Counseling Center Llc 100 Dr Warren Tuttle Drive Harrisburg IL 62946 Ph: (619) 252-4956 | Harrisburg Counseling Center Llc 100 Dr Warren Tuttle Drive Harrisburg IL 62946 Ph: (618) 252-4956 |
| NPI Number | 1336179951 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336179951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
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