Organization
SOUTHEASTERN ILLINOIS CENTER FOR PASTORAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA L. KNUCKLES LCPC (COUNSELOR/THERAPIST)
(618) 382-5548
Entity
Organization
Contact information
Practice address
100 S CHURCH ST, CARMI, IL 62821-1658
(618) 382-5548
Mailing address
100 S CHURCH ST, CARMI, IL 62821-1658
(618) 382-5548
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
180003304
IL
Other
Enumeration date
07/19/2008
Last updated
07/19/2008
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