Mrs Jacey L Downing, LCPC | |
229 Martin Ave, Canton, IL 61520-2520 | |
(309) 647-1881 | |
Not Available |
Full Name | Mrs Jacey L Downing |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 229 Martin Ave, Canton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578685954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (Illinois) | Primary |
Entity Name | Graham Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
Mailing Address | Practice Location Address |
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Mrs Jacey L Downing, LCPC 24466 E County Highway 27, Canton, IL 61520-8953 Ph: () - | Mrs Jacey L Downing, LCPC 229 Martin Ave, Canton, IL 61520-2520 Ph: (309) 647-1881 |
Miriam S Mindeman, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 229 Martin Ave, Canton, IL 61520 Phone: 309-647-1881 | |
Mr. Nathan W Gates, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 S Main St, Suite 203, Canton, IL 61520 Phone: 309-740-2171 Fax: 309-740-2171 | |
Debra Fanning, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 180 S Main St Fl 4, Canton, IL 61520 Phone: 309-706-3190 Fax: 309-588-4115 | |
Mrs. Jennifer J Bates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 E Chestnut St, Suite C, Canton, IL 61520 Phone: 309-649-1660 Fax: 309-649-1660 |