Harrisburg Counseling Center LLC
NPI #1336179951 in Harrisburg, Illinois
Provider Information
- NPI Number
- 1336179951
- Entity Type
- Organization
- Organization Name
- Harrisburg Counseling Center LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jul 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 100 DR WARREN TUTTLE DRIVE
- City
- Harrisburg
- State
- Illinois
- ZIP Code
- 62946
- Phone
- (618) 252-4956
Authorized Official
- Name
- MARIO L GOSPODINOFF, MD
- Title
- OWNER
- Phone
- (618) 252-4956
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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