| Gena Haile | |
|
800 W Main St Carbondale IL 62901-2538 | |
| (618) 529-2273 | |
| Not Available |
| Full Name | Gena Haile |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 800 W Main St, Carbondale, Illinois |
| Authorized Official Name and Position | Gena Haile (LCSW) |
| Authorized Official Contact | 6188413730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gena Haile 2217 Pine St Eldorado IL 62930-2188 Ph: (618) 841-3730 | Gena Haile 800 W Main St Carbondale IL 62901-2538 Ph: (618) 529-2273 |
| NPI Number | 1184490807 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184490807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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