Organization
HOPE HARBOR COUNSELING NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTINA MARIA WELLS LCPC (CLINICIAN)
(618) 364-2504
Entity
Organization
Contact information
Practice address
1602 W WALNUT ST, MARION, IL 62959-1310
(618) 364-2504
Mailing address
1602 W WALNUT ST, MARION, IL 62959-1310
(618) 364-2504
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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