| Mrs Mallory Hartman, | |
|
408 E Vine St, Vienna, IL 62995-1612 | |
| (618) 658-2611 | |
| Not Available |
| Full Name | Mrs Mallory Hartman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 408 E Vine St, Vienna, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124404124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mallory Hartman, 4301 Boskydell Rd, Carbondale, IL 62903-7610 Ph: () - | Mrs Mallory Hartman, 408 E Vine St, Vienna, IL 62995-1612 Ph: (618) 658-2611 |
Madison Kimbrell, MSW QMHP Counselor Medicare: Medicare Enrolled Practice Location: 101 Oliver St, Vienna, IL 62995 Phone: 618-658-2611 Fax: 618-658-2501 | |
Ms. Jennifer Martin, MS QMRP Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 E Vine St, Vienna, IL 62995 Phone: 618-658-2611 Fax: 618-658-2501 | |
Raelyn Melton, BSW, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Oliver St, Vienna, IL 62995 Phone: 618-658-2611 Fax: 618-658-2501 | |
Regaina Madden, MSW QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Oliver St, Vienna, IL 62995 Phone: 618-658-2611 Fax: 618-658-2501 | |
Rose Arvieux, BA, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Oliver St, Vienna, IL 62995 Phone: 618-658-3079 Fax: 618-658-2501 | |
Mr. Gregory Glenn Lence, BA MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 E Vine St, Vienna, IL 62995 Phone: 618-658-2611 Fax: 618-658-2501 | |
Karen Sue Brown Wright, BS MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 E Vine St, Vienna, IL 62995 Phone: 618-658-2611 |