Organization
CLEAR MINDS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE HUMPHREYS (PRESIDENT)
(815) 560-7132
Entity
Organization
Contact information
Practice address
2785 E 2625TH RD, MARSEILLES, IL 61341-9485
(815) 560-7132
Mailing address
2785 E 2625TH RD, MARSEILLES, IL 61341-9485
(815) 560-7132
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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