| Thompson Counseling And Dui Services | |
|
9 Cusumano Professional Plaza Dr Mount Vernon IL 62864-6736 | |
| (618) 242-4290 | |
| (618) 242-4209 |
| Full Name | Thompson Counseling And Dui Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9 Cusumano Professional Plaza Dr, Mount Vernon, Illinois |
| Authorized Official Name and Position | Amanda R Garrison (OWNER/COUNSELOR) |
| Authorized Official Contact | 6182371060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thompson Counseling And Dui Services 9 Cusumano Professional Plaza Dr Mount Vernon IL 62864-6736 Ph: (618) 242-4290 | Thompson Counseling And Dui Services 9 Cusumano Professional Plaza Dr Mount Vernon IL 62864-6736 Ph: (618) 242-4290 |
| NPI Number | 1366269300 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366269300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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