Organization
COUNSELING CLINIC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN PERRY (OFFICE MANAGER)
(618) 659-9111
Entity
Organization
Contact information
Practice address
871 S ARBOR VITAE STE 3, EDWARDSVILLE, IL 62025-3400
(618) 659-9111
(618) 692-9111
Mailing address
871 S ARBOR VITAE SUITE 003, EDWARDSVILLE, IL 62025-3400
(618) 659-9111
(618) 692-9111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
12/20/2021
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