| New Leaf Counseling Services, Llc | |
|
9 Junction Dr W Ste 2 Glen Carbon IL 62034-2931 | |
| (618) 980-2358 | |
| (618) 205-3561 |
| Full Name | New Leaf Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9 Junction Dr W Ste 2, Glen Carbon, Illinois |
| Authorized Official Name and Position | Jean Mcgurk O'brien (OWNER) |
| Authorized Official Contact | 6189802358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Counseling Services, Llc 9 Junction Dr W Ste 2 Glen Carbon IL 62034-2931 Ph: (618) 980-2358 | New Leaf Counseling Services, Llc 9 Junction Dr W Ste 2 Glen Carbon IL 62034-2931 Ph: (618) 980-2358 |
| NPI Number | 1104101732 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 10/20/2011 |
| Medicare PECOS PAC ID | 5193163632 |
|---|---|
| Medicare Enrollment ID | O20240403002892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104101732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jean Mcgurk O'brien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093993925 PECOS PAC ID: 6002254547 Enrollment ID: I20240403002986 |
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