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Organization
SOUTHEASTERN ILLINOIS CENTER FOR PASTORAL COUNSELING
Active
Organization
SOUTHEASTERN ILLINOIS CENTER FOR PASTORAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA L. KNUCKLES LCPC (COUNSELOR/THERAPIST)
(618) 382-5548
Entity
Organization
Contact information
Practice address
100 S CHURCH ST, CARMI, IL 62821-1658
(618) 382-5548
Mailing address
100 S CHURCH ST, CARMI, IL 62821-1658
(618) 382-5548
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
180003304
IL
Other
Enumeration date
07/19/2008
Last updated
07/19/2008
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