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Organization
CREATIVE COUNSELING CENTER, INC.
Active
Organization
CREATIVE COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA J COWDEN PH.D. (PRESIDENT)
(618) 632-0701
Entity
Organization
Contact information
Practice address
701 S LINCOLN AVE, O FALLON, IL 62269-2665
(618) 632-0701
(618) 222-1370
Mailing address
PO BOX 701, O FALLON, IL 62269-0701
(618) 632-0701
(618) 222-1370
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000342
IL
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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