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Mckenna Whiteside
Counselor in Glen Carbon, Illinois
NPI 1275260135

Mckenna Whiteside is a Counselor based in Glen Carbon, IL. Mckenna Whiteside practices in Glen Carbon, IL. The NPI Number for Mckenna Whiteside is 1275260135 and holds a License No. (Illinois).

The current practice location address for Mckenna Whiteside is 88 S Main St, Glen Carbon, IL and can be reached out via phone at 618-288-8085 and via fax at 618-288-8959.

Location: 88 S Main St, Glen Carbon, IL, 62034-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275260135
Provider Name
Mckenna Whiteside
Credential
Provider Entity Type
Individual
Gender
Female
Address
88 S Main St, Glen Carbon, IL, 62034-1415
Phone Number
618-288-8085
Fax Number
618-288-8959
Provider Enumeration Date
08/02/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4A00-IPI-032 05 IL
institution
Provider Business Practice Location Address Details
Address
88 S Main St
City
Glen Carbon
State
Illinois
Zip
62034-1415
Phone Number
618-288-8085
Fax Number
618-288-8959
person
Provider Business Mailing Address Details
Address
88 S Main St
City
Glen Carbon
State
Illinois
Zip
62034-1415
Phone Number
618-288-8085
Fax Number
618-288-8959
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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