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Organization
PENELOPE J PRESTON COUNSELING
Active
Organization
PENELOPE J PRESTON COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE J PRESTON M.A., L.C.P.C. (LICENSED CLINICAL PROFESSIONAL COUN)
(618) 409-6062
Entity
Organization
Contact information
Practice address
1161 FORTUNE BLVD STE 400, O FALLON, IL 62269-7385
(618) 409-6062
Mailing address
1161 FORTUNE BLVD STE 400, O FALLON, IL 62269-7385
(618) 409-6062
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008861
IL
Other
Enumeration date
06/26/2015
Last updated
07/09/2015
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