Organization
ANN L CHAN COUNSELING SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN L. CHAN MEDUC,MSW (OWNER)
(217) 390-2917
Entity
Organization
Contact information
Practice address
206 N RANDOLPH ST STE 420, CHAMPAIGN, IL 61820-3978
(217) 390-2917
(217) 355-1866
Mailing address
2203 S ANDERSON ST, URBANA, IL 61801-6711
(217) 390-2917
(217) 355-1866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/07/2010
Last updated
06/20/2011
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