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Autonomy Alliance Counseling LLC

Counselor, Professional in Washington, IL. Organization (NPI-2).

NPI number1164036042
StatusActive
Last updated in NPPESSep 8, 2020

Details

NPI
1164036042
Entity type
Organization (NPI-2)
Legal business name
Autonomy Alliance Counseling LLC
Organization subpart
No
Enumeration date
Sep 8, 2020
Certification date
Sep 8, 2020
Last updated
Sep 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

100 Alamo Dr
Washington, IL 61571-2901

Phone 309-316-6440

Mailing address

100 Alamo Dr
Washington, IL 61571-2901

Phone 309-316-6440

Authorized official

Mary Hosbrough
Owner
3093166440

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