Organization · Type 2 NPI

Cisco Counseling LLC

Mental Health Counselor · Centralia, IL

NPI number 1104616531 Active

Practice location

1504 S Poplar St
Centralia, IL 62801-5172

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104616531

Cisco Counseling LLC's National Provider Identifier is 1104616531, issued on May 8, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, IL. The record was last updated on May 8, 2025.