South Eastern Illinois Counseling Center INC

NPI #1003094988 in Flora, Illinois

Provider Information

NPI Number
1003094988
Entity Type
Organization
Organization Name
South Eastern Illinois Counseling Center INC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 4, 2008
Last Updated
Jul 23, 2009

Practice Location

Address
118 W NORTH AVE
City
Flora
ZIP Code
62839-1612
Phone
(618) 662-2289

Authorized Official

Name
MR. GLENN JACKSON, M.DIV., LSW, LCPC
Title
EXECUTIVE DIRECTOR
Phone
(618) 395-4309

Specialties & Taxonomy Codes

Specialty
Case Management
Community/Behavioral Health

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