Organization
SARA HUNTER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA STRATTON LCPC (COUNSELOR)
(217) 972-4014
Entity
Organization
Contact information
Practice address
6201 W MAIN ST STE 120, MARYVILLE, IL 62062-6870
(618) 208-1690
(618) 772-7200
Mailing address
208 GRAND RAPIDS LN, EDWARDSVILLE, IL 62025-5965
(217) 972-4014
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336770841
NPI TYPE 1
IL
Enumeration date
02/25/2020
Last updated
07/19/2021
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