Organization
ACORN COUNSELING & MEDIATION, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE SPICER LCSW (REGISTERED AGENT)
(217) 801-1242
Entity
Organization
Contact information
Practice address
101 MCCAUSLAND ST, CARLINVILLE, IL 62626-9133
(217) 930-2106
(217) 716-2265
Mailing address
9 CRESTWOOD DR, CARLINVILLE, IL 62626-1847
(217) 930-2106
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149.016405
IL
251S00000X
Community/Behavioral Health Agency
149.018235
IL
Other
Enumeration date
03/22/2016
Last updated
05/04/2023
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