| Wayne Family Counseling Ctr | |
|
407 N Basin Rd Fairfield IL 62837-9639 | |
| (618) 842-2125 | |
| (618) 842-2126 |
| Full Name | Wayne Family Counseling Ctr |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 407 N Basin Rd, Fairfield, 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 |
|---|---|
| Wayne Family Counseling Ctr Po Box M 504 Micah Drive Olney IL 62450-0913 Ph: (618) 395-4306 | Wayne Family Counseling Ctr 407 N Basin Rd Fairfield IL 62837-9639 Ph: (618) 842-2125 |
| NPI Number | 1013186568 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013186568 | NPI | - | NPPES |
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