Organization
ABBCON COUNSELING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY EPPERSON BS, CADC (DIRECTOR)
(217) 345-3156
Entity
Organization
Contact information
Practice address
201 N LOGAN ST STE A, MATTOON, IL 61938-4598
(217) 317-2089
Mailing address
603 MONROE AVE, CHARLESTON, IL 61920-2034
(217) 345-3156
(217) 345-3157
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-6036-0004-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-6036-0013-A
SUPR LICENSE NUMBER
IL
Enumeration date
05/07/2015
Last updated
07/30/2020
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