CLINICAL COUNSELING ASSOCIATES INC NPI 1396869350

NPI Information

NPI: 1396869350
Provider Name: CLINICAL COUNSELING ASSOCIATES, INC

Doing Business As: CLINICAL COUNSELING ASSOCIATES

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1635 W 1ST ST
SUITES 107 & 108
GRANITE CITY, IL
ZIP 62040
Phone: (618) 452-8015
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CLINICAL COUNSELING ASSOCIATES, INC is a professional counselor in Granite City, IL. CLINICAL COUNSELING ASSOCIATES, INC NPI is 1396869350. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clinical Counseling Associates.

The provider's business location address is:

1635 W 1ST ST
SUITES 107 & 108
GRANITE CITY, IL
ZIP 62040-883
Phone: (618) 452-8015
Fax: (618) 258-0854

The provider's authorized official is Connie D Landre .
The authorized official title is President and has the following contact phone number (618) 530-2135.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/22/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional		ILLINOIS	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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