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St. Marys Good Samaritan Inc
Counselor in Centralia, Illinois
NPI 1568643021

St. Marys Good Samaritan Inc is a Counselor based in Centralia, IL. St. Marys Good Samaritan Inc practices in Centralia, IL. The NPI Number for St. Marys Good Samaritan Inc is 1568643021 and holds a License No. (Illinois).

The current practice location address for St. Marys Good Samaritan Inc is 1034 E Noleman St, Centralia, IL and can be reached out via phone at 618-436-6267.

Location: 1034 E Noleman St, Centralia, IL, 62801-3348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568643021
Provider Name
St. Marys Good Samaritan Inc
Credential
Provider Entity Type
Organization
Address
1034 E Noleman St, Centralia, IL, 62801-3348
Phone Number
618-436-6267
Fax Number
Provider Enumeration Date
11/26/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3928382 01 IL BCBS OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
1034 E Noleman St
City
Centralia
State
Illinois
Zip
62801-3348
Phone Number
618-436-6267
Fax Number
person
Provider Business Mailing Address Details
Address
1034 E Noleman St
City
Centralia
State
Illinois
Zip
62801-3348
Phone Number
618-436-6267
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Illinois)
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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