Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cisco Counseling LLC

Organization Mental Health Counselor · NPI 1104616531

Cisco Counseling LLC is a Mental Health Counselor in Centralia, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1504 S Poplar St
Centralia, IL 62801-5172
Phone: (618) 267-0305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1104616531
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Washington Cisco — Ceo · (618) 267-0305
NPI enumeratedMay 8, 2025
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address1504 S Poplar St, Centralia, IL 62801-5172

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