Organization
AGAPE COUNSELING, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE VACCARO PSY. D (OWNER)
(309) 263-5565
Entity
Organization
Contact information
Practice address
75 E QUEENWOOD RD, MORTON, IL 61550-2985
(309) 263-5565
(309) 263-9336
Mailing address
75 E QUEENWOOD RD, MORTON, IL 61550-2985
(309) 263-5565
(309) 263-9336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/18/2005
Last updated
08/18/2010
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