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Organization
WEBSTER CANTRELL YOUTH ADVOCACY
Active
Organization
WEBSTER CANTRELL YOUTH ADVOCACY
Active
Parent organization
WEBSTER CANTRELL YOUTH ADVOCACY
Other names
Staley Counseling Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEBSTER CANTRELL YOUTH ADVOCACY
Authorized official
MR. MICHAEL WARNER MS.ED, LCPC, CADC (CEO)
(217) 423-6961
Entity
Organization
Contact information
Practice address
1220 UNDERWOOD CT, DECATUR, IL 62526-1983
(217) 233-6811
(217) 233-6810
Mailing address
1942 E CANTRELL ST, DECATUR, IL 62521-3214
(217) 423-6961
(217) 421-6889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/29/2020
Last updated
05/17/2021
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