| Professional Supportive Solution Therapy | |
|
6400 W Main St Belleville IL 62223-3806 | |
| (314) 786-2870 | |
| Not Available |
| Full Name | Professional Supportive Solution Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6400 W Main St, Belleville, Illinois |
| Authorized Official Name and Position | April Dawn Jones (OWNER) |
| Authorized Official Contact | 6185813751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Supportive Solution Therapy 6400 W Main St Belleville IL 62223-3806 Ph: (314) 786-2870 | Professional Supportive Solution Therapy 6400 W Main St Belleville IL 62223-3806 Ph: (314) 786-2870 |
| NPI Number | 1295107563 |
|---|---|
| Provider Enumeration Date | 10/27/2015 |
| Last Update Date | 10/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295107563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 178.011045 (Illinois) | Primary |
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