| New Directions Counseling Center | |
|
28 E Marion St Ste 5 Princeton IL 61356-2098 | |
| (815) 875-2192 | |
| (815) 879-0168 |
| Full Name | New Directions Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 28 E Marion St Ste 5, Princeton, Illinois |
| Authorized Official Name and Position | Lisa M Johnson (OWNER) |
| Authorized Official Contact | 5632425316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Directions Counseling Center Po Box 361 Clinton IA 52733-0361 Ph: (563) 242-5316 | New Directions Counseling Center 28 E Marion St Ste 5 Princeton IL 61356-2098 Ph: (815) 875-2192 |
| NPI Number | 1831729466 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831729466 | NPI | - | NPPES |
| 1417375650 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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