Organization · Type 2 NPI

S E Illinois Counseling CTRS

Addiction (Substance Use Disorder) Counselor · Fairfield, IL

NPI number 1013186568 Active

Practice location

407 N Basin Rd
Fairfield, IL 62837-9639

Call (618) 842-2125 Map

Fax (618) 842-2126

Mailing address

PO Box M, 504 Micah Drive
Olney, IL 62450-0913

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

10 other providers at this address

About NPI 1013186568

S E Illinois Counseling CTRS's National Provider Identifier is 1013186568, issued on Feb 28, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, IL. The record was last updated on May 5, 2016.