Organization · NPI-2

Abc Counseling And Family Services

Social Worker, Clinical · Springfield, IL

NPI number1710280714
StatusActive
Last updated in NPPESDec 13, 2010

Details

NPI
1710280714
Entity type
Organization (NPI-2)
Legal business name
Abc Counseling And Family Services
Organization subpart
No
Enumeration date
Dec 13, 2010
Last updated
Dec 13, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149013615ILYes

Practice location

2160 S 6th St
Ste A
Springfield, IL 62703-3459

Phone 217-528-9820 · Fax 217-528-9823

Mailing address

705 E Lincoln St
Ste 303
Normal, IL 61761-6406

Phone 309-451-9495 · Fax 309-451-9495

Authorized official

Lynn R Willard
Executive Director
3094519495

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