| Blake Churchill, | |
|
3008 Happy Landing Dr, Springfield, IL 62711-6259 | |
| (855) 630-3182 | |
| Not Available |
| Full Name | Blake Churchill |
|---|---|
| Gender | |
| Speciality | Counselor - Mental Health |
| Location | 3008 Happy Landing Dr, Springfield, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982575858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Churchill, 2636 S 9th St, Springfield, IL 62703-6725 Ph: () - | Blake Churchill, 3008 Happy Landing Dr, Springfield, IL 62711-6259 Ph: (855) 630-3182 |
Mr. Jonathan Dean Ponser, M.A., LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 901 N 1st St, Springfield, IL 62702 Phone: 217-788-4065 Fax: 217-778-8414 | |
Michele L Herron, LCPC, CADC/MISA II Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 S 5th St, Springfield, IL 62701 Phone: 217-528-1988 Fax: 217-528-1989 | |
Amy Nudo I, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5230 South 6th Street Road, Springfield, IL 62703 Phone: 217-585-1180 Fax: 217-585-5651 | |
Barbara J. Wolfson, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Jenna Yates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3233 Mathers Rd Ste A, Springfield, IL 62711 Phone: 217-899-5412 | |
Kayla Jane Gerdes, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 426 W Cook St, Springfield, IL 62704 Phone: 217-502-0678 | |
Rachel Rambach, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4481 Ash Grove Dr Ste B, Springfield, IL 62711 Phone: 217-970-2727 |