Organization
COUNSELING ASSOCIATES OF SOUTHERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI MILLER (PARTNER)
(618) 622-2579
Entity
Organization
Contact information
Practice address
1669 WINDHAM WAY STE B, O FALLON, IL 62269-3072
(618) 622-2579
(618) 624-8506
Mailing address
1669 WINDHAM WAY STE B, O FALLON, IL 62269-3072
(618) 622-2579
(618) 624-8506
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007978
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0823180
BLUE CROSS
IL
01
—
732-136
HEALTHLINK
MO
Enumeration date
12/01/2011
Last updated
12/01/2011
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