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Organization
SOARING EAGLES COUNSELING LLC
Active
Organization
SOARING EAGLES COUNSELING LLC
Active
Other names
Soaring Eagles Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE JOHNSON LCPC (OWNER)
(217) 550-7708
Entity
Organization
Contact information
Practice address
702 BLOOMINGTON RD STE 214, CHAMPAIGN, IL 61820-2560
(217) 383-0157
Mailing address
807 BLUEGRASS LN, CHAMPAIGN, IL 61822
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-002794
IL
Other
Enumeration date
09/01/2018
Last updated
04/04/2020
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