Penelope J Preston Counseling | |
1161 Fortune Blvd Ste 400 O Fallon IL 62269-7385 | |
(618) 409-6062 | |
Not Available |
Full Name | Penelope J Preston Counseling |
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Speciality | Counselor - Professional |
Location | 1161 Fortune Blvd Ste 400, O Fallon, Illinois |
Authorized Official Name and Position | Penelope J Preston (LICENSED CLINICAL PROFESSIONAL COUN) |
Authorized Official Contact | 6184096062 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Penelope J Preston Counseling 1161 Fortune Blvd Ste 400 O Fallon IL 62269-7385 Ph: (618) 409-6062 | Penelope J Preston Counseling 1161 Fortune Blvd Ste 400 O Fallon IL 62269-7385 Ph: (618) 409-6062 |
NPI Number | 1629450580 |
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Provider Enumeration Date | 06/26/2015 |
Last Update Date | 07/09/2015 |
Identifier | Type | State | Issuer |
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1629450580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.008861 (Illinois) | Primary |
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