| Prairie Counseling Services | |
|
2422 E Washington St Suite 109 Bloomington IL 61704-4478 | |
| (309) 830-4553 | |
| Not Available |
| Full Name | Prairie Counseling Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2422 E Washington St, Bloomington, Illinois |
| Authorized Official Name and Position | Jennifer Hamilton (OWNER) |
| Authorized Official Contact | 3098304553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Counseling Services 211 Kreitzer Ave Bloomington IL 61701-5637 Ph: (309) 830-4553 | Prairie Counseling Services 2422 E Washington St Suite 109 Bloomington IL 61704-4478 Ph: (309) 830-4553 |
| NPI Number | 1326430299 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326430299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180003930 (Illinois) | Primary |
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