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Organization
MATHY HOUSE COUNSELING CENTER
Active
Organization
MATHY HOUSE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN MATHY LCSW (PARTNER)
(217) 621-3014
Entity
Organization
Contact information
Practice address
404 W GREEN ST, URBANA, IL 61801-3267
(217) 621-3014
Mailing address
2408 N NOTTINGHAM CT, CHAMPAIGN, IL 61821-7017
(217) 621-3014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.012714
IL
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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