Midwest Clinical Counseling
NPI #1336445030 in Springfield, Illinois
Provider Information
- NPI Number
- 1336445030
- Entity Type
- Organization
- Organization Name
- Midwest Clinical Counseling
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jan 28, 2011
- Last Updated
- Jan 28, 2011
Practice Location
- Address
- 915 S GRAND AVE W
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-3642
- Phone
- (217) 726-8744
Authorized Official
- Name
- MR. KEIR GOATLEY
- Title
- DIRECTOR
- Phone
- (217) 726-8744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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