| Midwest Clinical Counseling | |
|
915 S Grand Ave W Springfield IL 62704-3642 | |
| (217) 726-8744 | |
| (877) 721-7028 |
| Full Name | Midwest Clinical Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 915 S Grand Ave W, Springfield, Illinois |
| Authorized Official Name and Position | Keir Goatley (DIRECTOR) |
| Authorized Official Contact | 2177268744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Clinical Counseling 915 S Grand Ave W Springfield IL 62704-3642 Ph: (217) 726-8744 | Midwest Clinical Counseling 915 S Grand Ave W Springfield IL 62704-3642 Ph: (217) 726-8744 |
| NPI Number | 1336445030 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336445030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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