Southeastern Illinois Center for Pastoral Counseling

NPI #1275798266 in Carmi, Illinois

Provider Information

NPI Number: 1275798266
Entity Type: Organization
Organization Name: Southeastern Illinois Center for Pastoral Counseling
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 19, 2008
Last Updated: Jul 19, 2008

Practice Location

Address: 100 S CHURCH ST
City: Carmi
State: Illinois
ZIP Code: 62821-1658
Phone: (618) 382-5548

Authorized Official

Name: MRS. BRENDA L. KNUCKLES, LCPC
Title: COUNSELOR/THERAPIST
Phone: (618) 382-5548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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