Mt. Vernon Counseling Center, Inc. | |
114 Andrews Dr Fairfield IL 62837-2945 | |
(312) 841-7674 | |
(618) 270-0524 |
Full Name | Mt. Vernon Counseling Center, Inc. |
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Speciality | Social Worker |
Location | 114 Andrews Dr, Fairfield, Illinois |
Authorized Official Name and Position | Jill L Barnfield (PRESIDENT) |
Authorized Official Contact | 3128417674 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mt. Vernon Counseling Center, Inc. 114 Andrews Dr Fairfield IL 62837-2945 Ph: (312) 841-7674 | Mt. Vernon Counseling Center, Inc. 114 Andrews Dr Fairfield IL 62837-2945 Ph: (312) 841-7674 |
NPI Number | 1558487090 |
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Provider Enumeration Date | 03/22/2007 |
Last Update Date | 09/25/2021 |
Certification Date | 09/25/2021 |
Medicare PECOS PAC ID | 7719054030 |
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Medicare Enrollment ID | O20080927000207 |
Identifier | Type | State | Issuer |
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1558487090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Jill L Barnfield |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467506329 PECOS PAC ID: 7810064136 Enrollment ID: I20080927000200 |
Solutions Psychotherapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 W Sibley St, Fairfield, IL 62837 Phone: 618-599-3647 | |