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Organization
SOUL COUNSELING, PLLC
Active
Organization
SOUL COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIDA ABDELRASOUL LCSW (CLINICAL THERAPIST/OWNER)
(757) 752-2073
Entity
Organization
Contact information
Practice address
201 W SPRINGFIELD AVE STE 1008, CHAMPAIGN, IL 61820-6385
(217) 607-2020
(217) 607-2020
Mailing address
3905 DAFFODIL LN, CHAMPAIGN, IL 61822-2031
(757) 752-2073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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