| Creative Counseling Center, Inc. | |
|
701 S Lincoln Ave O Fallon IL 62269-2665 | |
| (618) 632-0701 | |
| (618) 222-1370 |
| Full Name | Creative Counseling Center, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 701 S Lincoln Ave, O Fallon, Illinois |
| Authorized Official Name and Position | Linda J Cowden (PRESIDENT) |
| Authorized Official Contact | 6186320701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Center, Inc. Po Box 701 O Fallon IL 62269-0701 Ph: (618) 632-0701 | Creative Counseling Center, Inc. 701 S Lincoln Ave O Fallon IL 62269-2665 Ph: (618) 632-0701 |
| NPI Number | 1184953929 |
|---|---|
| Provider Enumeration Date | 12/07/2009 |
| Last Update Date | 12/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184953929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166000342 (Illinois) | Primary |
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