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Organization
MONTVALE COUNSELING CENTER
Active
Organization
MONTVALE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN WAGNER (OFFICE MANAGER)
(217) 836-3501
Entity
Organization
Contact information
Practice address
3050 MONTVALE DR, SUITE D, SPRINGFIELD, IL 62704-4290
(217) 793-2770
Mailing address
3050 MONTVALE DR, SUITE D, SPRINGFIELD, IL 62704-4290
(217) 793-2770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180002534
IL
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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