Genesis Counseling LLC

NPI #1477184356 in Morton, Illinois

Provider Information

NPI Number: 1477184356
Entity Type: Organization
Organization Name: Genesis Counseling LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 30, 2020
Last Updated: Jan 30, 2020

Practice Location

Address: 208 S 1ST AVE
City: Morton
State: Illinois
ZIP Code: 61550-2037
Phone: (309) 258-5713

Authorized Official

Name: EMMA KATHRYN BUCHER
Title: CLINICAL PSYCHOLOGIST
Phone: (309) 258-5713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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