Organization
AEON SOCIAL EMOTIONAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCCLURE LCPC (OWNER)
(309) 573-4834
Entity
Organization
Contact information
Practice address
5016 N UNIVERSITY ST, SUITE 109, PEORIA, IL 61614-4781
(309) 573-4834
(312) 254-1423
Mailing address
PO BOX 9665, PEORIA, IL 61612-9665
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180006803
IL
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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