NPI 1821070434 · live from the CMS NPI Registry
Agape Counseling, Ltd
Psychologist in Morton, IL. National Provider Identifier 1821070434, active.
NPI record
| NPI | 1821070434 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 75 E Queenwood Rd, Morton, IL 61550 |
| Practice phone | 309-263-5565 |
| Enumerated | November 18, 2005 |
| Last updated | August 18, 2010 |
| Authorized official | Eugene Vaccaro, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional | 101YP2500X | — |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Counseling | 103TC1900X | — |
| Psychologist, Family | 103TF0000X | — |
| Psychologist, Group Psychotherapy | 103TP2701X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.