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NPI Code Detail

MEDICARE: FIRST STEP COUNSELING, INC

MEDICARE: FIRST STEP COUNSELING, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor
3106H00000XMarriage & Family Therapist
4101Y00000XCounselor

General Provider Information

NPI Number : 1578801007
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST STEP COUNSELING, INC
Provider Business Mailing Address
First Line : 114 WHITELAW AVE
Second Line :
City : WOOD RIVER
State : IL
Zip : 62095-1911
Country : US
Telephone Number : 618-251-4225
Fax Number : 618-251-4586
Provider Business Practice Location Address
First Line : 114 WHITELAW AVE
Second Line :
City : WOOD RIVER
State : IL
Zip : 62095-1911
Country : US
Telephone Number : 618-251-4225
Fax Number : 618-251-4586
Authorized Official
Title or Position : DIRECTOR
Name : MS. MELISSA MCHENRY
Credential : MA, MS, LCPC
Telephone Number : 618-251-4225
Provider Enumeration Date : 01/17/2013
Last Update Date : 01/17/2013

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Directions to “FIRST STEP COUNSELING, INC ” Practice Location

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