South Eastern Illinois Counseling Center INC
NPI #1235317116 in Lawrenceville, Illinois
Provider Information
- NPI Number
- 1235317116
- Entity Type
- Organization
- Organization Name
- South Eastern Illinois Counseling Center INC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 4, 2008
- Last Updated
- Sep 15, 2011
Practice Location
- Address
- 1501 OLIVE ST
- City
- Lawrenceville
- State
- Illinois
- ZIP Code
- 62439-2269
- Phone
- (618) 943-3451
Authorized Official
- Name
- MR. GLENN JACKSON, M. DIV., LSW, LCPC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 395-4309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Counselor |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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