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Organization
PRAIRIE COUNSELING SERVICES
Active
Organization
PRAIRIE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAMILTON M.S. LCPC (OWNER)
(309) 830-4553
Entity
Organization
Contact information
Practice address
2422 E WASHINGTON ST, SUITE 109, BLOOMINGTON, IL 61704-4478
(309) 830-4553
Mailing address
211 KREITZER AVE, BLOOMINGTON, IL 61701-5637
(309) 830-4553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180003930
IL
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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