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Organization

CREATIVE COUNSELING CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LINDA J COWDEN PH.D. (PRESIDENT)
(618) 632-0701
Entity
Organization

Contact information

Practice address
701 S LINCOLN AVE, O FALLON, IL 62269-2665
(618) 632-0701
(618) 222-1370
Mailing address
PO BOX 701, O FALLON, IL 62269-0701
(618) 632-0701
(618) 222-1370

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000342
IL

Other

Enumeration date
12/07/2009
Last updated
12/07/2009
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