South Eastern Illinois Counseling Center INC

NPI #1710165279 in Olney, Illinois

Provider Information

NPI Number: 1710165279
Entity Type: Organization
Organization Name: South Eastern Illinois Counseling Center INC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 7, 2008
Last Updated: Sep 15, 2011

Practice Location

Address: 504 MICAH DRIVE
City: Olney
State: Illinois
ZIP Code: 62450-0913
Phone: (618) 395-4306

Authorized Official

Name: MR. GLENN JACKSON, M. DIV., LSW, LCPC
Title: EXECUTIVE DIRECTOR
Phone: (618) 395-4309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

Similar Providers

Provider Name	Specialty	City
MS. Kathy Stokes	Counselor - Mental Health	Olney	AI Deep Dive
MRS. Jane Thompson-Smith	Counselor - Mental Health	Olney	AI Deep Dive
MS. Jennifer Oesch, BS	Counselor - Mental Health	Olney	AI Deep Dive
Dora Mae Riley, MHP	Counselor - Mental Health	Olney	AI Deep Dive
Madison Bruce, BSW	Counselor - Mental Health	Olney	AI Deep Dive

Want to research this healthcare provider further?