Organization
UNION COUNTY COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER TRAVELSTEAD (ASST. FISCAL MANAGER)
(618) 833-8551
Entity
Organization
Contact information
Practice address
204 SOUTH STREET, ANNA, IL 62906
(618) 833-8551
(618) 833-2911
Mailing address
PO BOX 548, ANNA, IL 62906-0548
(618) 833-8551
(618) 833-2911
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04142
DEPT OF HUMAN SERVICES
IL
Enumeration date
08/04/2006
Last updated
02/25/2020
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