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Organization
MIDWEST CLINICAL COUNSELING
Active
Organization
MIDWEST CLINICAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEIR GOATLEY (DIRECTOR)
(217) 726-8744
Entity
Organization
Contact information
Practice address
915 S GRAND AVE W, SPRINGFIELD, IL 62704-3642
(217) 726-8744
(877) 721-7028
Mailing address
915 S GRAND AVE W, SPRINGFIELD, IL 62704-3642
(217) 726-8744
(877) 721-7028
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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