Organization
FOOTBRIDGE COUNSELING AND SUPERVISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTI L BARICEVIC LCPC (OWNER)
(618) 978-2823
Entity
Organization
Contact information
Practice address
107 W MAIN ST, BELLEVILLE, IL 62220-1501
(618) 978-2812
Mailing address
27 MARILYN CIR, FAIRVIEW HEIGHTS, IL 62208-2853
(618) 978-2812
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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