Caring Counseling Ministries | |
1410 W Chestnut St Marion IL 62959-1910 | |
(618) 997-2129 | |
(618) 997-7972 |
Full Name | Caring Counseling Ministries |
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Speciality | Social Worker |
Location | 1410 W Chestnut St, Marion, Illinois |
Authorized Official Name and Position | James Kenton Mattox (DIRECTOR COUNSELOR) |
Authorized Official Contact | 6189972129 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Caring Counseling Ministries 1410 W Chestnut St Marion IL 62959-1910 Ph: (618) 997-2129 | Caring Counseling Ministries 1410 W Chestnut St Marion IL 62959-1910 Ph: (618) 997-2129 |
NPI Number | 1821153206 |
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Provider Enumeration Date | 12/26/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2961671201 |
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Medicare Enrollment ID | O20110803000384 |
Identifier | Type | State | Issuer |
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1821153206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
Provider Name | Christie R Corzine |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326389057 PECOS PAC ID: 4587951751 Enrollment ID: I20170313000031 |
Provider Name | Rachel M Dawkins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235506692 PECOS PAC ID: 0941688543 Enrollment ID: I20220610001243 |
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