Organization · NPI-2

Abbcon Counseling Corporation

Clinic/Center, Rehabilitation, Substance Use Disorder · Mattoon, IL

NPI number1487032769
StatusActive
Last updated in NPPESJul 30, 2020

Details

NPI
1487032769
Entity type
Organization (NPI-2)
Legal business name
Abbcon Counseling Corporation
Organization subpart
No
Enumeration date
May 7, 2015
Certification date
Jul 30, 2020
Last updated
Jul 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use DisorderA-6036-0004-AILYes

Practice location

201 N Logan St Ste A
Mattoon, IL 61938-4598

Phone 217-317-2089

Mailing address

603 Monroe Ave
Charleston, IL 61920-2034

Phone 217-345-3156 · Fax 217-345-3157

Other practice locations

107 West South Central
Tuscola, IL 61953

Phone 217-253-3111 · Fax 217-253-3009

201 N Logan St Ste B
Mattoon, IL 61938-4598

Phone 217-317-2089

Authorized official

Ashley Epperson
Director
2173453156

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