Organization
CHRISTIAN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GREGORY HALL MSED, NCC, LPC, DCC (PRESIDENT)
(618) 925-3714
Entity
Organization
Contact information
Practice address
2804 S PARK AVE, HERRIN, IL 62948-3723
(618) 925-3714
(618) 988-2144
Mailing address
921 N 13TH ST, HERRIN, IL 62948-2843
(618) 925-3714
(618) 988-2144
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
17800785
IL
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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