Organization
STOUFFER CLINICAL COUNSELING & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN R STOUFFER LCPC (PRINCIPAL)
(217) 415-1739
Entity
Organization
Contact information
Practice address
900 CAPITAL AIRPORT DR, SPRINGFIELD, IL 62707-8410
(217) 415-1739
Mailing address
900 CAPITAL AIRPORT DR, SPRINGFIELD, IL 62707-8410
(217) 415-1739
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
248000699
IL
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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