Organization
FAMILY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA POTTS (BILLING LIAISON)
(618) 658-2611
Entity
Organization
Contact information
Practice address
408 E VINE ST, SAME, VIENNA, IL 62995-1612
(618) 658-2611
Mailing address
408 E VINE ST, VIENNA, IL 62995-1612
(618) 658-2611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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