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Organization

GRACE & TRUTH COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA PAYNE LCPC (OWNER/COUNSELOR)
(309) 265-2108
Entity
Organization

Contact information

Practice address
631 N CUMMINGS LN, WASHINGTON, IL 61571-7501
(309) 265-2108
Mailing address
631 N CUMMINGS LN, WASHINGTON, IL 61571-7501
(309) 265-2108

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194087445
INDIVIDUAL NPI
IL
01
12460403
CAQH
IL
01
180008958
STATE LICENSE NUMBER
IL
01
39005549A
INDIANA STATE LICENSE - LMHC
IN
Enumeration date
01/04/2019
Last updated
07/21/2026
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