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

South Eastern Illinois Counseling Center Inc

Organization Counselor · NPI 1952589830

South Eastern Illinois Counseling Center Inc is a Counselor in Fairfield, Illinois. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

407 N Basin Rd
Fairfield, IL 62837-9639
Phone: (618) 842-2125
Fax: (618) 842-4154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Professional Counselor Taxonomy 101YP2500X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1952589830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Jackson — Executive Director · (618) 395-4309
Other names Wayne Family Counseling Center
NPI enumeratedFebruary 4, 2008
Last updated in NPPESMay 5, 2016
Mailing addressPo Box M, Olney, IL 62450-0913

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