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William Thomas Radcliffe
Mental Health Counselor in Centralia, Illinois
NPI 1558641639

William Thomas Radcliffe is a Mental Health Counselor based in Centralia, IL and is specialized in Mental Health. William Thomas Radcliffe practices in Centralia, IL. The NPI Number for William Thomas Radcliffe is 1558641639 and holds a License No. (Illinois).

The current practice location address for William Thomas Radcliffe is 101 S Locust St, Centralia, IL and can be reached out via phone at 618-533-1391.

Location: 101 S Locust St, Centralia, IL, 62801-3506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558641639
Provider Name
William Thomas Radcliffe
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 S Locust St, Centralia, IL, 62801-3506
Phone Number
618-533-1391
Fax Number
Provider Enumeration Date
08/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 S Locust St
City
Centralia
State
Illinois
Zip
62801-3506
Phone Number
618-533-1391
Fax Number
person
Provider Business Mailing Address Details
Address
101 S Locust St
City
Centralia
State
Illinois
Zip
62801-3506
Phone Number
618-533-1391
Fax Number
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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