| Sisu Counseling Center, Pllc | |
|
3913 15th Street D Unit A1 Moline IL 61265-7267 | |
| (309) 581-1585 | |
| (309) 581-1583 |
| Full Name | Sisu Counseling Center, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3913 15th Street D Unit A1, Moline, Illinois |
| Authorized Official Name and Position | Christine Sarah Keemle (LICENSED CLINICAL PROFESSIONAL COUN) |
| Authorized Official Contact | 3095811585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisu Counseling Center, Pllc 3913 15th Street D Unit A 1/2 Moline IL 61265-7267 Ph: (309) 716-5764 | Sisu Counseling Center, Pllc 3913 15th Street D Unit A1 Moline IL 61265-7267 Ph: (309) 581-1585 |
| NPI Number | 1851160204 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851160204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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