Ts Onsite Mental Health | |
14376 Allen Rd Herrin IL 62948-6447 | |
(618) 889-0901 | |
Not Available |
Full Name | Ts Onsite Mental Health |
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Speciality | Social Worker - Clinical |
Location | 14376 Allen Rd, Herrin, Illinois |
Authorized Official Name and Position | Stacie Carr (VICE PRESIDENT) |
Authorized Official Contact | 6183357364 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ts Onsite Mental Health 14376 Allen Rd Herrin IL 62948-6447 Ph: (618) 889-0901 | Ts Onsite Mental Health 14376 Allen Rd Herrin IL 62948-6447 Ph: (618) 889-0901 |
NPI Number | 1699168161 |
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Provider Enumeration Date | 03/09/2015 |
Last Update Date | 03/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699168161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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