| White County Community Counseling Services Llc | |
|
126 S Main St Monticello IN 47960 | |
| (574) 583-8055 | |
| Not Available |
| Full Name | White County Community Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 126 S Main St, Monticello, Indiana |
| Authorized Official Name and Position | Richard Charles Russell (DIRECTOR) |
| Authorized Official Contact | 5745838055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White County Community Counseling Services Llc 126 S Main St Monticello IN 47960 Ph: (574) 583-8055 | White County Community Counseling Services Llc 126 S Main St Monticello IN 47960 Ph: (574) 583-8055 |
| NPI Number | 1467890293 |
|---|---|
| Provider Enumeration Date | 06/14/2013 |
| Last Update Date | 06/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467890293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39002487A (Indiana) | Primary |
| 101YP2500X | Counselor - Professional | 39002487A (Indiana) | Secondary |
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