Organization
EMBODYING DIALECTICS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA MCELLEN LCPC (COUNSELOR)
(941) 993-3207
Entity
Organization
Contact information
Practice address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(941) 993-3207
Mailing address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(941) 993-3207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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