Unknown Individual – Mental Health Counselor, NPI 1720045800
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
100, North Main Street, Fond du Lac, East Peoria, Tazewell County, Illinois, 61611, United States
STE L100
EAST PEORIA, IL 61611
Phone: (309) 694-6462
Fax: (309) 694-7812
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 61611)
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