| Mfg Counseling Services. Llc | |
|
5016 N University St Ste 101 Peoria IL 61614-4763 | |
| (309) 219-5384 | |
| Not Available |
| Full Name | Mfg Counseling Services. Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5016 N University St Ste 101, Peoria, Illinois |
| Authorized Official Name and Position | Morgan Ann Fulton-gorham (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3092195384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mfg Counseling Services. Llc 1329 W Circle Rd Peoria IL 61604-2501 Ph: (309) 219-5384 | Mfg Counseling Services. Llc 5016 N University St Ste 101 Peoria IL 61614-4763 Ph: (309) 219-5384 |
| NPI Number | 1902554629 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 05/19/2022 |
| Certification Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902554629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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