Organization · Type 2 NPI

The Autism Program

Professional Counselor · Springfield, IL

NPI number 1487947172 Active

Practice location

5220 S 6th Street Rd, Suite 1700
Springfield, IL 62703-5735

Fax (217) 789-1420

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180006213 (IL)

Professional Counselor: Definition to come...

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About NPI 1487947172

The Autism Program's National Provider Identifier is 1487947172, issued on May 27, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on May 27, 2011.