South Eastern Illinois Counseling Center INC

NPI #1336137199 in Olney, Illinois

Provider Information

NPI Number
1336137199
Entity Type
Organization
Organization Name
South Eastern Illinois Counseling Center INC
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Oct 6, 2005
Last Updated
May 5, 2016

Practice Location

Address
504 MICAH DRIVE
Address 2
DRAWER M
City
Olney
ZIP Code
62450
Phone
(618) 395-4306

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Counselor
Counselor - Mental HealthMental Health
Counselor - ProfessionalProfessional
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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