Monarch Trauma Counseling Center

NPI #1710239793 in Moline, Illinois

Provider Information

NPI Number: 1710239793
Entity Type: Organization
Organization Name: Monarch Trauma Counseling Center
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 15, 2012
Last Updated: Oct 15, 2012

Practice Location

Address: 1630 5TH AVE
Address 2: SUITE 429
City: Moline
State: Illinois
ZIP Code: 61265-7914
Phone: (309) 764-4733

Authorized Official

Name: MRS. SALLY MELISSAS MISKINIS, LCSW
Title: CO-OWNER
Phone: (309) 764-4733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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