| Abc Counseling & Family Services | |
|
1110 Arbor Dr Ste A Decatur IL 62526-9285 | |
| (309) 877-9217 | |
| (309) 877-9218 |
| Full Name | Abc Counseling & Family Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1110 Arbor Dr, Decatur, Illinois |
| Authorized Official Name and Position | Lynn Willard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3094519495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Counseling & Family Services 1110 Arbor Dr Ste A Decatur IL 62526-9285 Ph: (309) 877-9217 | Abc Counseling & Family Services 1110 Arbor Dr Ste A Decatur IL 62526-9285 Ph: (309) 877-9217 |
| NPI Number | 1639418676 |
|---|---|
| Provider Enumeration Date | 02/12/2013 |
| Last Update Date | 11/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639418676 | NPI | - | NPPES |
| 2A00-IPI-175 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 198405 (Illinois) | Primary |
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