Provider First Line Business Practice Location Address:
COUNSELING ASSOCIATES OF SOUTHERN ILLINOIS
Provider Second Line Business Practice Location Address:
1669 WINDHAM WAY, SUITE B
Provider Business Practice Location Address City Name:
O'FALLON
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62269
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-622-2579
Provider Business Practice Location Address Fax Number:
618-624-8506
Provider Enumeration Date:
04/24/2006