| Organization Name: | PERRY COUNTY COUNSELING CENTER INC |
| NPI Number: | 1538301577 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN R VENSKUS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 110 S Hickory St Du Quoin |
| State: | IL US |
| Postal Code: | 628321839 |
| Phone Number: | 6185426722 |
| Fax Number: | 6185426623 |
| NPI Enumeration Date: | 04/06/2009 |
| NPI Last Update Date: | 04/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180004129 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |