Organization
DUI SOLUTIONS & TREATMENT ALTERNATIVES, INC.
Active
Other names
Ascent Counseling & DUI Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W. MAST CADC, NCAC II, CCJS (CLINICAL DIRECTOR/OWNER)
(309) 828-1988
Entity
Organization
Contact information
Practice address
207 WEST JEFFERSON STREET, SUITE 501, BLOOMINGTON, IL 61701
(309) 828-1988
(309) 828-6540
Mailing address
207 W JEFFERSON ST, SUITE 501, BLOOMINGTON, IL 61701-3960
(309) 828-1988
(309) 828-6540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.002048
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
INSURANCE
IL
01
—
104100000X
INSURANCE
IL
01
—
106H00000X
INSURANCE
IL
Enumeration date
08/20/2009
Last updated
03/14/2013
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