Perry County Counseling Center INC

NPI #1063460897 in Du Quoin, Illinois

Provider Information

NPI Number: 1063460897
Entity Type: Organization
Organization Name: Perry County Counseling Center INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 4, 2006
Last Updated: Mar 4, 2021

Practice Location

Address: 1016 S MADISON ST
Address 2: SUITE A
City: Du Quoin
State: Illinois
ZIP Code: 62832-2442
Phone: (618) 542-4357

Authorized Official

Name: JOHN R VENSKUS
Title: EXECUTIVE DIRECTOR
Phone: (618) 542-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X
Family Medicine	207Q00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Nurse Practitioner - Family — Family	363LF0000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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