S E Illinois Counseling Ctrs
S E Illinois Counseling Ctrs is an Addiction (Substance Use Disorder) Counselor in Fairfield, Illinois. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 5
Practice location Address checks out
407 N Basin RdFairfield, IL 62837-9639
Phone: (618) 842-2125
Fax: (618) 842-2126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1013186568 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Glenn Jackson — Executive Director · (618) 395-4309 |
| Other names | Wayne Family Counseling Ctr |
| NPI enumerated | February 28, 2008 |
| Last updated in NPPES | May 5, 2016 |
| Mailing address | Po Box M, 504 Micah Drive, Olney, IL 62450-0913 |
Other providers in Fairfield
-
Mr. Alvin Ewing, CADC
407 N Basin Rd, Fairfield, IL 62837 · (618) 842-2125
-
Mrs. Allissa Keoughan, BA
407 N Basin Rd, Fairfield, IL 62837-9639 · (618) 842-2125
-
Brian Frank Vahl
407 N Basin Rd, Fairfield, IL 62837-9639 · (618) 516-5326
-
Miss. Chloe Lane Weaver, MSW
401 N Basin Rd, Fairfield, IL 62837 · (618) 516-5326