Organization
AUTONOMY ALLIANCE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HOSBROUGH LCPC (OWNER)
(309) 316-6440
Entity
Organization
Contact information
Practice address
100 ALAMO DR, WASHINGTON, IL 61571-2901
(309) 316-6440
Mailing address
100 ALAMO DR, WASHINGTON, IL 61571-2901
(309) 316-6440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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