| Jessie Shanks Counseling, Inc. | |
|
514 Broadway St Unit 1351 Pekin IL 61555-2260 | |
| (309) 322-2900 | |
| (309) 322-2901 |
| Full Name | Jessie Shanks Counseling, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 514 Broadway St Unit 1351, Pekin, Illinois |
| Authorized Official Name and Position | Jessie Shanks (OWNER) |
| Authorized Official Contact | 3093222900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie Shanks Counseling, Inc. 1006 Augusta St Pekin IL 61554-3002 Ph: (309) 322-2900 | Jessie Shanks Counseling, Inc. 514 Broadway St Unit 1351 Pekin IL 61555-2260 Ph: (309) 322-2900 |
| NPI Number | 1013742519 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 08/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013742519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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