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Organization

FULLY ALIVE COUNSELING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA STEINBACH (OFFICE MANAGER)
(513) 356-6129
Entity
Organization

Contact information

Practice address
801 S WEST ST STE 107, OLNEY, IL 62450-1334
(618) 816-1126
Mailing address
801 S WEST ST STE 107, OLNEY, IL 62450-1334
(513) 356-6129

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180.007390
STATE LICENSE
IL
Enumeration date
01/29/2025
Last updated
02/12/2025
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