person
Mr. Gilbert Tennyson, BSW
Mental Health Counselor in Fairfield, Illinois
NPI 1417145129

Gilbert Tennyson is a Mental Health Counselor based in Olney, IL and is specialized in Mental Health. Gilbert Tennyson practices in Fairfield, IL and has the professional credentials of BSW. The NPI Number for Gilbert Tennyson is 1417145129 and holds a License No. (Illinois).

The current practice location address for Gilbert Tennyson is 407 North Basin Rd, Fairfield, IL and can be reached out via phone at 618-842-2125 and via fax at 618-842-4154.

Location: 407 North Basin Rd, Fairfield, IL, 62450-0913
person
Provider Profile Details
NPI Number
1417145129
Provider Name
Gilbert Tennyson
Credential
BSW
Provider Entity Type
Individual
Gender
Male
Address
407 North Basin Rd, Fairfield, IL, 62450-0913
Phone Number
618-842-2125
Fax Number
618-842-4154
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
407 North Basin Rd
City
State
Zip
62837
Phone Number
618-842-2125
Fax Number
618-842-4154
person
Provider Business Mailing Address Details
Address
407 North Basin Rd
City
State
Zip
62837
Phone Number
618-842-2125
Fax Number
618-842-4154
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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