| Ofallon Counseling Services Llc | |
|
8 Eagle Ctr Ste 15 O Fallon IL 62269-1947 | |
| (618) 207-3543 | |
| (855) 813-0212 |
| Full Name | Ofallon Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8 Eagle Ctr Ste 15, O Fallon, Illinois |
| Authorized Official Name and Position | Amy Vallem (OWNER) |
| Authorized Official Contact | 6182073543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ofallon Counseling Services Llc 1180 Tazewell Dr O Fallon IL 62269-7149 Ph: () - | Ofallon Counseling Services Llc 8 Eagle Ctr Ste 15 O Fallon IL 62269-1947 Ph: (618) 207-3543 |
| NPI Number | 1225690001 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225690001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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