South Eastern Illinois Counseling Center INC

NPI #1730367624 in Olney, Illinois

Provider Information

NPI Number
1730367624
Entity Type
Organization
Organization Name
South Eastern Illinois Counseling Center INC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 4, 2008
Last Updated
Sep 15, 2011

Practice Location

Address
209 S CAMP AVE
City
Olney
ZIP Code
62450-1556
Phone
(618) 392-7916

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Case Management
Community/Behavioral Health

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