Sos Crisis Intervention, Llc | |
901 Terrace Ct O Fallon IL 62269-3437 | |
(618) 335-2938 | |
Not Available |
Full Name | Sos Crisis Intervention, Llc |
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Speciality | Counselor - Mental Health |
Location | 901 Terrace Ct, O Fallon, Illinois |
Authorized Official Name and Position | Shannon Franco (PRESIDENT) |
Authorized Official Contact | 6183352938 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sos Crisis Intervention, Llc 4020 Green Mount Crossing Dr # 325 Shiloh IL 62269-7287 Ph: (618) 335-2938 | Sos Crisis Intervention, Llc 901 Terrace Ct O Fallon IL 62269-3437 Ph: (618) 335-2938 |
NPI Number | 1215447610 |
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Provider Enumeration Date | 10/11/2017 |
Last Update Date | 05/13/2019 |
Identifier | Type | State | Issuer |
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1215447610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180011222 (Illinois) | Primary |
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