South Eastern Illinois Counseling Center INC

NPI #1952589830 in Fairfield, Illinois

Provider Information

NPI Number: 1952589830
Entity Type: Organization
Organization Name: South Eastern Illinois Counseling Center INC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 4, 2008
Last Updated: May 5, 2016

Practice Location

Address: 407 N BASIN RD
City: Fairfield
State: Illinois
ZIP Code: 62837-9639
Phone: (618) 842-2125

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. Shari Winter, BS	Counselor - Mental Health	Fairfield	AI Deep Dive
MS. Lori Esmon	Counselor - Mental Health	Fairfield	AI Deep Dive
Renae Robertson, BS	Counselor - Mental Health	Fairfield	AI Deep Dive
Rosella Leeann Book	Counselor - Mental Health	Fairfield	AI Deep Dive
MR. Gilbert Tennyson, BSW	Counselor - Mental Health	Fairfield	AI Deep Dive

Want to research this healthcare provider further?