NPI 1003094988

South Eastern Illinois Counseling Center INC

Organisation Community/Behavioral Health Agency Flora, IL

Practice location

Address: 118 W North Ave, Flora, IL 62839-1612
Phone: (618) 662-2289
Fax: (618) 662-2906
Mailing address: PO Box M, Olney, IL 62450-0913

Authorised official

Name: Glenn Jackson
Title: Executive Director
Phone: (618) 395-4309

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Illinois →

Case Management Agency

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1003094988
Entity type: Organization
NPI issued: 4 Feb 2008
Record last updated: 23 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.