OrganizationActive
Advanced Counseling Evaluation Treatment and Dui Services
NPI 1104378579 · Community/Behavioral Health Agency · Normal, IL
Provider details
- NPI number
- 1104378579
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Authorized official
- Michael Burash, Counselor
- License
- A75150001A (IL)
Practice location
705 E Lincoln St
Suite 204
Normal, IL 61761-6406
Phone: (309) 808-1017
Mailing address
705 E Lincoln St
Normal, IL 61761-6406
Registry dates
- Enumerated
- 2016-11-01
- Last updated
- 2016-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.