| Cierra Southworth, | |
|
1205 W Lane Rd, Machesney Park, IL 61115-1625 | |
| (815) 469-1500 | |
| Not Available |
| Full Name | Cierra Southworth |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1205 W Lane Rd, Machesney Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528786266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.017887 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cierra Southworth, 1205 W Lane Rd, Machesney Park, IL 61115-1625 Ph: (815) 469-1500 | Cierra Southworth, 1205 W Lane Rd, Machesney Park, IL 61115-1625 Ph: (815) 469-1500 |
Celinda Smith, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 9950 N Alpine Rd Ste 103, Machesney Park, IL 61115 Phone: 815-200-6444 Fax: 815-201-1702 | |
Kristen Fanella, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1205 W Lane Rd, Machesney Park, IL 61115 Phone: 815-655-7989 | |
Stefanie Lynn Lynch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9950 N Alpine Rd Ste 103, Machesney Park, IL 61115 Phone: 815-200-6444 | |
Vincent Carl Ver Kuilen, M.S.ED. LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6410 Harvest Ln, Machesney Park, IL 61115 Phone: 815-670-1397 | |
Ms. Tracy E Martin, M.S.ED., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7700 N 2nd St, Machesney Park, IL 61115 Phone: 815-289-2211 | |
Amanda Jean Satterlee, MS, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9950 N Alpine Rd Ste 103, Machesney Park, IL 61115 Phone: 815-200-6444 |