Travis Merrell Trone I, | |
628 Tracy Ter, Centralia, IL 62801-4478 | |
(618) 533-2579 | |
Not Available |
Full Name | Travis Merrell Trone I |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 628 Tracy Ter, Centralia, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003037557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Travis Merrell Trone I, 628 Tracy Ter, Centralia, IL 62801-4478 Ph: () - | Travis Merrell Trone I, 628 Tracy Ter, Centralia, IL 62801-4478 Ph: (618) 533-2579 |
Andrea Slater, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391 | |
Mary Gates-gully, MS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 | |
Mrs. Lolita Isaiah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 | |
Sydney Cummins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 E Martin Luther Kind Drive, Centralia, IL 62801 Phone: 618-335-0973 | |
Steffany Slininger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391 | |
Kelsey Dulle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 |