Organization
ABC COUNSELING AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN R WILLARD LCPC, LCSW (EXECUTIVE DIRECTOR)
(309) 451-9495
Entity
Organization
Contact information
Practice address
2160 S 6TH ST, STE A, SPRINGFIELD, IL 62703-3459
(217) 528-9820
(217) 528-9823
Mailing address
705 E LINCOLN ST, STE 303, NORMAL, IL 61761-6406
(309) 451-9495
(309) 451-9495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013615
IL
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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