Organization
COPING WITH CHOICES THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE SUZETTE GATES (PRESIDENT)
(618) 825-8173
Entity
Organization
Contact information
Practice address
1151 BOULDER CREEK DRIVE, APT 104, O FALLON, IL 62269-0079
(618) 825-8173
Mailing address
4020 GREEN MOUNT CROSSING DR STE 108, O FALLON, IL 62269-7287
(618) 825-8173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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