Organization
COUNTERMEASURES, INC.
Active
Other names
DUI Countermeasures
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE M. MATURY M.H.S., C.A.D.C. (DIRECTOR)
(309) 827-0818
Entity
Organization
Contact information
Practice address
110 N. CENTER, BLOOMINGTON, IL 61701-5002
(309) 827-0818
(309) 828-3764
Mailing address
110 N. CENTER, BLOOMINGTON, IL 61701-5002
(309) 827-0818
(309) 828-3764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-1028-0001-A
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
A-1028-0004-A
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
A-1028-0005-A
IL
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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