Organization
SARA HUNTER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA HUNTER LCPC (OWNER)
(217) 972-4014
Entity
Organization
Contact information
Practice address
535 N 3RD ST, WOOD RIVER, IL 62095-1719
(217) 972-4014
Mailing address
535 N 3RD ST, WOOD RIVER, IL 62095-1719
(217) 972-4014
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336770841
TYPE 1 NPI
IL
Enumeration date
02/26/2020
Last updated
02/26/2020
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