Organization
SOUTH LIBERTY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD LABOG CARREON LMFT (LICENSED MFT)
(808) 286-8955
Entity
Organization
Contact information
Practice address
134 S LIBERTY ST STE 2, RUSHVILLE, IL 62681-1420
(808) 286-8955
Mailing address
PO BOX 118, PRAIRIE CITY, IL 61470-0118
(808) 286-8955
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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