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Organization
PRAIRIELAND COUNSELING
Active
Organization
PRAIRIELAND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH SPENCER LCPC (OWNER)
(309) 704-4664
Entity
Organization
Contact information
Practice address
6035 N KNOXVILLE AVE STE 204B, PEORIA, IL 61614-3504
(309) 704-4664
Mailing address
6035 N KNOXVILLE AVE STE 204B, PEORIA, IL 61614-3504
(309) 704-4664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/21/2022
Last updated
07/06/2022
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