SOUTH EASTERN ILLINOIS COUNSELING CENTER INC NPI 1336137199

NPI Information

SOUTH EASTERN ILLINOIS COUNSELING CENTER INC is an addiction (substance use disorder) counselor in Olney, IL. SOUTH EASTERN ILLINOIS COUNSELING CENTER INC NPI is 1336137199. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

504 MICAH DRIVE
DRAWER M
OLNEY, IL
ZIP 62450
Phone: (618) 395-4306
Fax: (618) 395-4507

The provider's authorized official is Glenn Jackson .
The authorized official title is Executive Director and has the following contact phone number (618) 395-4309.

The enumeration date for this NPI number is 10/6/2005 and was last updated on 5/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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