| Hope Harbor Counseling Nfp | |
|
1602 W Walnut St Marion IL 62959-1310 | |
| (618) 364-2504 | |
| Not Available |
| Full Name | Hope Harbor Counseling Nfp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1602 W Walnut St, Marion, Illinois |
| Authorized Official Name and Position | Crystina Maria Wells (CLINICIAN) |
| Authorized Official Contact | 6183642504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Harbor Counseling Nfp 1602 W Walnut St Marion IL 62959-1310 Ph: (618) 364-2504 | Hope Harbor Counseling Nfp 1602 W Walnut St Marion IL 62959-1310 Ph: (618) 364-2504 |
| NPI Number | 1073230165 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073230165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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