Organization
PERSONAL COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI L VANDEVEER MA LMFT LCPC CADC (OWNER COUNSELOR)
(217) 726-7273
Entity
Organization
Contact information
Practice address
2659 FARRAGUT DR, SPRINGFIELD, IL 62704-1459
(217) 726-7273
Mailing address
2659 FARRAGUT DR, SPRINGFIELD, IL 62704-1459
(217) 726-7273
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A35150001A
IL
Other
Enumeration date
03/27/2007
Last updated
04/20/2010
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