Organization
GENESIS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA KATHRYN BUCHER (CLINICAL PSYCHOLOGIST)
(309) 258-5713
Entity
Organization
Contact information
Practice address
208 S 1ST AVE, MORTON, IL 61550-2037
(309) 258-5713
Mailing address
309 W BIRCHWOOD ST, MORTON, IL 61550-2405
(309) 258-5713
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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