Organization
PEACE OF MIND COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BRACAMONTES LCSW (OWNER)
(618) 823-6444
Entity
Organization
Contact information
Practice address
2016 VADALABENE DR STE A, MARYVILLE, IL 62062-6901
(618) 823-6444
(618) 551-8456
Mailing address
2016 VADALABENE DR STE A, MARYVILLE, IL 62062-6901
(618) 823-6444
(618) 551-8456
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149.013539
IL
Other
Enumeration date
08/03/2015
Last updated
03/08/2016
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