| Prairieland Counseling | |
|
6035 N Knoxville Ave Ste 204b Peoria IL 61614-3504 | |
| (309) 704-4664 | |
| Not Available |
| Full Name | Prairieland Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6035 N Knoxville Ave Ste 204b, Peoria, Illinois |
| Authorized Official Name and Position | Hannah Spencer (OWNER) |
| Authorized Official Contact | 3097044664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairieland Counseling 6035 N Knoxville Ave Ste 204b Peoria IL 61614-3504 Ph: (309) 704-4664 | Prairieland Counseling 6035 N Knoxville Ave Ste 204b Peoria IL 61614-3504 Ph: (309) 704-4664 |
| NPI Number | 1588313225 |
|---|---|
| Provider Enumeration Date | 03/21/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588313225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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