| South Eastern Illinois Counseling Center Inc | |
|
504 Micah Drive Drawer M Olney IL 62450 | |
| (618) 395-4306 | |
| (618) 395-4507 |
| Full Name | South Eastern Illinois Counseling Center Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 504 Micah Drive, Olney, Illinois |
| Authorized Official Name and Position | Glenn Jackson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6183954309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Eastern Illinois Counseling Center Inc Po Box M 504 Micah Drive Olney IL 62450-0913 Ph: (618) 395-4306 | South Eastern Illinois Counseling Center Inc 504 Micah Drive Drawer M Olney IL 62450 Ph: (618) 395-4306 |
| NPI Number | 1336137199 |
|---|---|
| Provider Enumeration Date | 10/06/2005 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336137199 | NPI | - | NPPES |
| 036037359 | Medicaid | IL | |
| 343700207 | Medicaid | IL | |
| 036072942 | Medicaid | IL |
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