Unknown Individual – Professional Counselor, NPI 1467669382
Professional Counselor
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2148, Vadalabene Drive, Chinatown, Maryville, Madison County, Illinois, 62062, United States
MARYVILLE, IL 620625632
Phone: (618) 288-3100
Fax: (618) 288-3371
Type: Location
1322, Pepperidge Drive, O'Fallon, Saint Clair County, Illinois, 62269, United States
O FALLON, IL 622693040
Phone: (618) 624-5459
Type: Mailing
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 62062)
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