Counselors Associates
Counselor, Professional in Maryville, IL. Organization (NPI-2).
NPI number1922399682
StatusActive
Last updated in NPPESJan 15, 2025
Details
- NPI
- 1922399682
- Entity type
- Organization (NPI-2)
- Legal business name
- Counselors Associates
- Organization subpart
- No
- Enumeration date
- Apr 28, 2011
- Certification date
- Jan 15, 2025
- Last updated
- Jan 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180007781 | IL | Yes |
Practice location
3 Oak Dr Ste BMaryville, IL 62062-5635
Phone 618-972-1568 · Fax 618-205-3561
Mailing address
3 Oak Dr Ste BMaryville, IL 62062-5635
Phone 618-972-1568 · Fax 618-205-3561
Authorized official
Kristin Roberts
President
6189723191
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