Cameron Keith Young, LMFT | |
1120 E Main St Ste 201, St Charles, IL 60174 | |
(630) 377-6613 | |
(630) 377-6225 |
Full Name | Cameron Keith Young |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1120 E Main St Ste 201, St Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477071736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 208000347 (Illinois) | Secondary |
106H00000X | Marriage & Family Therapist | 166.001232 (Illinois) | Primary |
Entity Name | Centennial Counseling Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376544387 PECOS PAC ID: 7416959390 Enrollment ID: O20070206000185 |
Mailing Address | Practice Location Address |
---|---|
Cameron Keith Young, LMFT 1120 E Main St Ste 201, St Charles, IL 60174-2287 Ph: (630) 377-6613 | Cameron Keith Young, LMFT 1120 E Main St Ste 201, St Charles, IL 60174 Ph: (630) 377-6613 |
Mrs. Melanie S Thomas, MS Couples Therapy Medicare: Medicare Enrolled Practice Location: 311 N 2nd St, St Charles, IL 60174 Phone: 630-391-1423 | |
Mrs. Kathryn Lesley Ditch, M.S., L.M.F.T Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 226 State St, St Charles, IL 60174 Phone: 630-587-3777 | |
Dr. Warren J. Heard Jr., PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 112 E Main St, St Charles, IL 60174 Phone: 630-587-6390 Fax: 630-377-5233 | |
James R Otepka, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1120 E Main St Ste 201, St Charles, IL 60174 Phone: 630-377-6613 Fax: 630-377-6225 | |
Whitney Michele Wilson, ALMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 311 N 2nd St Unit 203, St Charles, IL 60174 Phone: 630-377-5105 | |
Trude Holli, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1120 E Main St, Ste. 201, St Charles, IL 60174 Phone: 630-377-6613 Fax: 630-377-6225 | |
Mr. John Jacob Wett, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 104 S 2nd Ave, St Charles, IL 60174 Phone: 630-297-3617 |