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Organization
OAK VISTA COUNSELING PLLC
Active
Organization
OAK VISTA COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT H BEACH III LCPC (OWNER/MANAGER)
(217) 840-9864
Entity
Organization
Contact information
Practice address
3526 N CALIFORNIA AVE STE 101, PEORIA, IL 61603-1143
(773) 234-3574
Mailing address
602 E HIGH POINT RD, PEORIA, IL 61614-2240
(217) 840-9864
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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