Unknown Individual – Mental Health Counselor, NPI 1134453012
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
106, Dickinson Road, Anna, Union County, Illinois, 62906, United States
ANNA, IL 629061122
Phone: (618) 697-5998
Type: Mailing
706, West Main Street, Carbondale, Jackson County, Illinois, 62901, United States
CARBONDALE, IL 629012644
Phone: (618) 457-4890
Fax: (618) 457-4890
Type: Location
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62906)
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