Prairie Counseling Services
NPI #1326430299 in Bloomington, Illinois
Provider Information
- NPI Number
- 1326430299
- Entity Type
- Organization
- Organization Name
- Prairie Counseling Services
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 2, 2015
- Last Updated
- Mar 2, 2015
Practice Location
- Address
- 2422 E WASHINGTON ST
- Address 2
- SUITE 109
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-4478
- Phone
- (309) 830-4553
Authorized Official
- Name
- JENNIFER HAMILTON, M.S. LCPC
- Title
- OWNER
- Phone
- (309) 830-4553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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