| Soaring Eagles Counseling | |
|
702 Bloomington Rd Ste 214 Champaign IL 61820-2560 | |
| (217) 383-0157 | |
| Not Available |
| Full Name | Soaring Eagles Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 702 Bloomington Rd Ste 214, Champaign, Illinois |
| Authorized Official Name and Position | Christine Johnson (OWNER) |
| Authorized Official Contact | 2175507708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soaring Eagles Counseling 807 Bluegrass Ln Champaign IL 61822 Ph: () - | Soaring Eagles Counseling 702 Bloomington Rd Ste 214 Champaign IL 61820-2560 Ph: (217) 383-0157 |
| NPI Number | 1518449958 |
|---|---|
| Provider Enumeration Date | 09/01/2018 |
| Last Update Date | 04/04/2020 |
| Certification Date | 04/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518449958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180-002794 (Illinois) | Primary |
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