Organization
VINE COUNSELING COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA ELLEFRITZ LCSW (COUNSELING DIRECTOR)
(217) 773-2728
Entity
Organization
Contact information
Practice address
909 MAINE ST, QUINCY, IL 62301-4036
(217) 336-7792
Mailing address
909 MAINE ST, QUINCY, IL 62301-4036
(217) 336-7792
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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