Organization
SOUTH EASTERN ILLINOIS COUNSELING CENTER INC
Active
Other names
RICHLAND RESIDENCE APARTMENTS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN JACKSON M. DIV., LSW, LCPC (EXECUTIVE DIRECTOR)
(618) 395-4309
Entity
Organization
Contact information
Practice address
209 S CAMP AVE, OLNEY, IL 62450-1556
(618) 392-7916
Mailing address
PO BOX M, OLNEY, IL 62450-0913
(618) 395-4306
(618) 395-4507
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/04/2008
Last updated
09/15/2011
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