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Organization

JUBILEE HOUSE OUTREACH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE R. PETERS (EXECUTIVE DIRECTOR)
(618) 664-2360
Entity
Organization

Contact information

Practice address
417 W COLLEGE AVE, GREENVILLE, IL 62246-1020
(618) 664-2360
Mailing address
417 W COLLEGE AVE, GREENVILLE, IL 62246-1020
(618) 664-2360

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
01/15/2014
Last updated
01/27/2014
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