Charles J Speta, LCPC, CADC | |
2417 Parkview Dr, Springfield, IL 62704-2161 | |
(217) 787-1592 | |
Not Available |
Full Name | Charles J Speta |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2417 Parkview Dr, Springfield, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942288592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 180-005927 (Illinois) | Primary |
106H00000X | Marriage & Family Therapist | 180.005927 (Illinois) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Charles J Speta, LCPC, CADC 2417 Parkview Dr, Springfield, IL 62704-2161 Ph: (217) 787-1592 | Charles J Speta, LCPC, CADC 2417 Parkview Dr, Springfield, IL 62704-2161 Ph: (217) 787-1592 |
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 |