Organization
BRIDGE OF HOPE COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LOUISE GRAHAM LCSW (PRESIDENT)
(618) 977-8251
Entity
Organization
Contact information
Practice address
39 DELL AVE, EAST ALTON, IL 62024-1738
(618) 977-8251
Mailing address
39 DELL AVE, EAST ALTON, IL 62024-1738
(618) 977-8251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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