Unknown Individual – Professional Counselor, NPI 1114078359
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
113, Lakeland Hills Drive, Fairview Heights, Saint Clair County, Illinois, 62208, United States
FAIRVIEW HEIGHTS, IL 622083434
Phone: (618) 235-2379
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62208)
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