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Organization

EQUINE EMPOWERED COUNSELING CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALISIA NICOLE QUIGLEY-HOLMBECK LCSW (OWNER/THERAPIST)
(815) 343-2636
Entity
Organization

Contact information

Practice address
5220 HATTONS RD, HENNEPIN, IL 61327-5022
(815) 343-2636
Mailing address
9364 E 1175TH ST, GRANVILLE, IL 61326-9486
(815) 343-2636

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
05/17/2023
Last updated
05/17/2023
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