| Child And Family Counseling Of Champaign Llc | |
|
313 N Mattis Ave Ste 116 Champaign IL 61821-7900 | |
| (224) 232-8057 | |
| (217) 888-2744 |
| Full Name | Child And Family Counseling Of Champaign Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 313 N Mattis Ave Ste 116, Champaign, Illinois |
| Authorized Official Name and Position | Marilee Johnson (OWNER) |
| Authorized Official Contact | 2422328057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Counseling Of Champaign Llc 706 Lavender Dr Savoy IL 61874-9322 Ph: (224) 326-1943 | Child And Family Counseling Of Champaign Llc 313 N Mattis Ave Ste 116 Champaign IL 61821-7900 Ph: (224) 232-8057 |
| NPI Number | 1053814848 |
|---|---|
| Provider Enumeration Date | 03/17/2018 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053814848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.010891 (Illinois) | Primary |
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