| Donna Turner Hudson | |
|
2815 Kimwood Dr Charleston IL 61920-4314 | |
| (217) 549-7005 | |
| Not Available |
| Full Name | Donna Turner Hudson |
|---|---|
| Speciality | Counselor |
| Location | 2815 Kimwood Dr, Charleston, Illinois |
| Authorized Official Name and Position | Donna Hudson (OWNER) |
| Authorized Official Contact | 2175497005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Turner Hudson 2815 Kimwood Dr Charleston IL 61920-4314 Ph: (217) 549-7005 | Donna Turner Hudson 2815 Kimwood Dr Charleston IL 61920-4314 Ph: (217) 549-7005 |
| NPI Number | 1760240469 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 5597105148 |
|---|---|
| Medicare Enrollment ID | O20240430000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760240469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Donna T Hudson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487246591 PECOS PAC ID: 9931549581 Enrollment ID: I20240430000286 |
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