Organization
CARBONDALE DUI & COUNSELING ASSOCIATES, INC.
Active
Other names
Sage Counseling of Southern Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORTNEY M GRASSL LCSW, CADC (PROGRAM DIRECTOR)
(618) 993-3013
Entity
Organization
Contact information
Practice address
502 S COURT ST, MARION, IL 62959-2816
(618) 993-3013
(618) 998-8018
Mailing address
502 S COURT ST, MARION, IL 62959-2816
(618) 993-3013
(618) 998-8018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/19/2023
Last updated
05/15/2024
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