| Alexis Dawn Black, | |
|
1836 Victoria Ln, Charleston, IL 61920-2964 | |
| (217) 508-8080 | |
| (217) 512-2288 |
| Full Name | Alexis Dawn Black |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1836 Victoria Ln, Charleston, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588315113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Dawn Black, 1836 Victoria Ln, Charleston, IL 61920-2964 Ph: (217) 508-8080 | Alexis Dawn Black, 1836 Victoria Ln, Charleston, IL 61920-2964 Ph: (217) 508-8080 |
Mrs. Francesca Lynn Ehlers, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W State St, Charleston, IL 61920 Phone: 217-345-4642 Fax: 217-210-0227 | |
Michael Parrish Dellinger, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Monroe Ave, Charleston, IL 61920 Phone: 217-294-6727 | |
John H Bulthouse Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 W Lincoln Ave Ste 8, Charleston, IL 61920 Phone: 217-254-6582 | |
Crystal Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 903 W Lincoln Ave, Charleston, IL 61920 Phone: 217-348-8384 | |
Shelby Renee Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Victoria Ln, Charleston, IL 61920 Phone: 217-508-8080 Fax: 217-512-2288 | |
Amanda Fedder, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W State St, Charleston, IL 61920 Phone: 217-345-4642 | |
Chuck L Mason, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Victoria Ln, Charleston, IL 61920 Phone: 217-508-8080 Fax: 217-512-2288 |