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Organization
SOUTH SIDE CHRISTIAN COUNSELING CENTER GROUP
Active
Organization
SOUTH SIDE CHRISTIAN COUNSELING CENTER GROUP
Active
Other names
Southside Christian Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S HAUSER (PRESIDENT)
(712) 887-0399
Entity
Organization
Contact information
Practice address
16537 OAK PARK AVE., TINLEY PARK, IL 60477
(708) 633-9003
(708) 633-1823
Mailing address
408 MAIN ST., LOHRVILLE, IA 51453
(712) 887-0399
(708) 633-1823
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
180-003931
IL
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
06/12/2015
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