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Organization
EAST PEORIA COUNSELING LLC
Active
Organization
EAST PEORIA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE LANE PEARSON LCPC NCC CADC (THERAPIST/OWNER)
(309) 339-5291
Entity
Organization
Contact information
Practice address
252 E WASHINGTON ST STE D, EAST PEORIA, IL 61611-2563
(331) 871-0280
Mailing address
106 SMILEY CT, WASHINGTON, IL 61571-1034
(309) 339-5291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
04/22/2025
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