Organization · Type 2 NPI
Sos Crisis Intervention, LLC
Mental Health Counselor · O Fallon, IL
NPI number
1215447610
Active
Practice location
901 Terrace Ct
O Fallon, IL 62269-3437
Mailing address
4020 Green Mount Crossing Dr # 325
Shiloh, IL 62269-7287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180011222 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1215447610
Sos Crisis Intervention, LLC's National Provider Identifier is 1215447610, issued on Oct 11, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in O Fallon, IL. The record was last updated on May 13, 2019.