Organization
ESSENTIAL CLINICAL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESSENCE LEE (OWNER)
(217) 201-1736
Entity
Organization
Contact information
Practice address
2141 W WHITE OAKS DR STE B, SPRINGFIELD, IL 62704-7414
(217) 201-1736
Mailing address
2141 W WHITE OAKS DR STE B, SPRINGFIELD, IL 62704-7414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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