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Organization

MONARCH TRAUMA COUNSELING CENTER

Active
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Organization

MONARCH TRAUMA COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SALLY MELISSAS MISKINIS LCSW (CO-OWNER)
(309) 764-4733
Entity
Organization

Contact information

Practice address
1630 5TH AVE, SUITE 429, MOLINE, IL 61265-7914
(309) 764-4733
(309) 764-2424
Mailing address
1630 5TH AVE, SUITE 429, MOLINE, IL 61265
(309) 764-4733
(309) 764-2424

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180003695
IL
1041C0700X
Clinical Social Worker
Primary
149014325
IL

Other

Enumeration date
10/15/2012
Last updated
10/15/2012
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