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602 E 5th St Mount Carmel IL 62863-2152 | |
| (618) 262-7473 | |
| (618) 263-6579 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 602 E 5th St, Mount Carmel, Illinois |
| Authorized Official Name and Position | Glenn Jackson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6183954509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box M 504 Micah Drive Olney IL 62450-0913 Ph: (618) 395-4306 | 602 E 5th St Mount Carmel IL 62863-2152 Ph: (618) 262-7473 |
| NPI Number | 1477722924 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477722924 | NPI | - | NPPES |
James B O'neal, Ms Amd Associates, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 W 8th St, Mount Carmel, IL 62863 Phone: 618-263-3322 Fax: 618-263-3322 | |
Wabash County Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W 7th St, Mount Carmel, IL 62863 Phone: 618-263-3873 |