Organization
AKA COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYA ABBED MA LCPC (OWNER/CLINICAL COUNSELOR)
(309) 287-3583
Entity
Organization
Contact information
Practice address
706 OGLESBY AVE STE 114A, NORMAL, IL 61761-4616
(309) 807-8669
Mailing address
3121 RIDGE CREST DR, BLOOMINGTON, IL 61704-8307
(309) 807-8669
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/23/2021
Last updated
02/07/2022
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