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Organization
UNION COUNTY COUNSELING SERVICES INC
Active
Organization
UNION COUNTY COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER TRAVELSTEAD (ASST. FISCAL MANAGER)
(618) 833-8551
Entity
Organization
Contact information
Practice address
204 SOUTH STREET, ANNA, IL 62906
(618) 833-8551
(618) 833-2911
Mailing address
PO BOX 548, ANNA, IL 62906-0548
(618) 833-8551
(618) 833-2911
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04142
DEPT OF HUMAN SERVICES
IL
Enumeration date
08/04/2006
Last updated
02/25/2020
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