| Candice Lynn Murrell-cannon, LCPC, LMHC, NCC | |
|
927 Broadway St Ste 331, Quincy, IL 62301-2721 | |
| (217) 224-4453 | |
| (217) 224-9383 |
| Full Name | Candice Lynn Murrell-cannon |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 927 Broadway St Ste 331, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528607959 | NPI | - | NPPES |
| 180012674 | Other | IL | IILINOIS DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180012674 (Illinois) | Primary |
| Entity Name | Community Health Centers Of Southeastern Iowa Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255339750 PECOS PAC ID: 4486562527 Enrollment ID: O20040219000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Lynn Murrell-cannon, LCPC, LMHC, NCC 927 Broadway St Ste 331, Quincy, IL 62301-2721 Ph: (217) 224-4453 | Candice Lynn Murrell-cannon, LCPC, LMHC, NCC 927 Broadway St Ste 331, Quincy, IL 62301-2721 Ph: (217) 224-4453 |
Stacey Samantha Soliman Juilfs, LPC Counselor Medicare: Medicare Enrolled Practice Location: 639 York St Rm 212, Quincy, IL 62301 Phone: 217-222-6271 | |
Mrs. Anne-claire Marie Vahle, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S 24th St, Quincy, IL 62301 Phone: 217-222-0034 Fax: 217-222-3865 | |
Janis Lynn Frageman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461 | |
Nicole Antoinette Shields, MS, LCPC, QMHP Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Kathleen Jean Nelson, M.S. ED. Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 Fax: 217-277-2253 | |
Martinette Z Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2931 Payson Hts Apt Suite, Quincy, IL 62305 Phone: 773-669-8168 | |
Heidi Muegge, BS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine St, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461 |