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504 Micah Drive Olney IL 62450-0913 | |
| (618) 395-4306 | |
| (618) 395-4507 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 504 Micah Drive, Olney, Illinois |
| Authorized Official Name and Position | Glenn Jackson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6183954309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box M Olney IL 62450-0913 Ph: (618) 395-4306 | 504 Micah Drive Olney IL 62450-0913 Ph: (618) 395-4306 |
| NPI Number | 1710165279 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710165279 | NPI | - | NPPES |
Richland Family Counseling Ctrs Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Micah Dr, Drawer M, Olney, IL 62450 Phone: 618-395-4309 Fax: 618-395-4507 | |
Fully Alive Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 S West St Ste 107, Olney, IL 62450 Phone: 618-816-1126 | |
South Eastern Illinois Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Micah Drive, Drawer M, Olney, IL 62450 Phone: 618-395-4306 Fax: 618-395-4507 | |
East Richland Csd 1 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 E Laurel St, Olney, IL 62450 Phone: 618-395-2324 | |