Organization
ABC COUNSELING & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN WILLARD LCPC, LCSW (EXECUTIVE DIRECTOR)
(309) 451-9495
Entity
Organization
Contact information
Practice address
1110 ARBOR DR, STE A, DECATUR, IL 62526-9285
(309) 877-9217
(309) 877-9218
Mailing address
1110 ARBOR DR, STE A, DECATUR, IL 62526-9285
(309) 877-9217
(309) 877-9218
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
198405
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2A00-IPI-175
—
IL
Enumeration date
02/12/2013
Last updated
11/22/2016
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