| Jcrx Mental Health Services Pllc | |
|
1720 Broadway St Mount Vernon IL 62864-2930 | |
| (408) 656-0623 | |
| Not Available |
| Full Name | Jcrx Mental Health Services Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1720 Broadway St, Mount Vernon, Illinois |
| Authorized Official Name and Position | Jessica Catherine Rodriguex Wellmaker (OWNER) |
| Authorized Official Contact | 4086560623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcrx Mental Health Services Pllc 906 Maple St Mount Vernon IL 62864-3547 Ph: (408) 656-0623 | Jcrx Mental Health Services Pllc 1720 Broadway St Mount Vernon IL 62864-2930 Ph: (408) 656-0623 |
| NPI Number | 1639905409 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639905409 | NPI | - | NPPES |
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