Organization
CRAB ORCHARD COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA RICCI (BILLING MANAGER)
(847) 894-0218
Entity
Organization
Contact information
Practice address
4501 W DEYOUNG ST, SUITE 208, MARION, IL 62959-6360
(618) 967-4890
(815) 846-0744
Mailing address
4501 W DEYOUNG ST, SUITE 208, MARION, IL 62959-6360
(618) 967-4890
(815) 846-0744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014398
IL
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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