person
Mariah Lonyea Mims
Professional Counselor in Charleston, Illinois
NPI 1548980287

Mariah Lonyea Mims is a Professional Counselor based in Charleston, IL and is specialized in Professional. Mariah Lonyea Mims practices in Charleston, IL. The NPI Number for Mariah Lonyea Mims is 1548980287 and holds a License No. 178.018271 (Illinois).

The current practice location address for Mariah Lonyea Mims is 121 W State St, Charleston, IL and can be reached out via phone at 217-345-4642 and via fax at 217-210-0227.

Location: 121 W State St, Charleston, IL, 61920-4921
person
Provider Profile Details
NPI Number
1548980287
Provider Name
Mariah Lonyea Mims
Credential
Provider Entity Type
Individual
Gender
Female
Address
121 W State St, Charleston, IL, 61920-4921
Phone Number
217-345-4642
Fax Number
217-210-0227
Provider Enumeration Date
09/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121 W State St
City
State
Zip
61920-1359
Phone Number
217-345-4642
Fax Number
217-210-0227
person
Provider Business Mailing Address Details
Address
121 W State St
City
State
Zip
61920-1359
Phone Number
217-345-4642
Fax Number
217-210-0227
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.018271 (Illinois)
Definition
Definition to come...
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