Cambron Talbott Counseling | |
2000 W Pioneer Pkwy Ste 3 Peoria IL 61615-1883 | |
(309) 210-3055 | |
Not Available |
Full Name | Cambron Talbott Counseling |
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Speciality | Social Worker |
Location | 2000 W Pioneer Pkwy Ste 3, Peoria, Illinois |
Authorized Official Name and Position | Connie G Cambron-adams (OWNER) |
Authorized Official Contact | 3092103055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cambron Talbott Counseling 2000 W Pioneer Pkwy Ste 3 Peoria IL 61615-1883 Ph: (309) 210-3055 | Cambron Talbott Counseling 2000 W Pioneer Pkwy Ste 3 Peoria IL 61615-1883 Ph: (309) 210-3055 |
NPI Number | 1740722099 |
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Provider Enumeration Date | 11/16/2016 |
Last Update Date | 01/26/2021 |
Certification Date | 01/26/2021 |
Medicare PECOS PAC ID | 2769897685 |
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Medicare Enrollment ID | O20210226000357 |
Identifier | Type | State | Issuer |
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1740722099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Connie G Cambron-adams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447200035 PECOS PAC ID: 9335181833 Enrollment ID: I20050525000347 |
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