Organization
BLUE OCEAN COUNSELING & COACHING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYSSA LATONIA RODGERS M.S., M.A., NCC, LPC (COUNSELOR/OWNER/EXEC. DIR.)
(309) 573-5818
Entity
Organization
Contact information
Practice address
3030 W MARQUETTE ST, PEORIA, IL 61605-1211
(309) 573-5818
Mailing address
4507 W CLAREDDA CT, PEORIA, IL 61615-2720
(309) 573-5818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
178012997
IL
101YS0200X
School Counselor
—
—
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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