S E Illinois Counseling Ctrs INC
NPI #1477722924 in Mount Carmel, Illinois
Provider Information
- NPI Number
- 1477722924
- Entity Type
- Organization
- Organization Name
- S E Illinois Counseling Ctrs INC
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Feb 28, 2008
- Last Updated
- May 5, 2016
Practice Location
- Address
- 602 E 5TH ST
- City
- Mount Carmel
- State
- Illinois
- ZIP Code
- 62863-2152
- Phone
- (618) 262-7473
Authorized Official
- Name
- MR. GLENN JACKSON, M. DIV., LSW, LCPC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 395-4509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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