Clinical Counseling, Ltd
NPI #1396996971 in Springfield, Illinois
Provider Information
- NPI Number
- 1396996971
- Entity Type
- Organization
- Organization Name
- Clinical Counseling, Ltd
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Oct 1, 2008
- Last Updated
- Oct 1, 2008
Practice Location
- Address
- 3001 SPRING MILL DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-6566
- Phone
- (217) 793-8900
Authorized Official
- Name
- LESLIE J FYANS JR., PHD
- Title
- OFFICER
- Phone
- (217) 793-8900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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