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Crystal Newcomb
Mental Health Counselor in Du Quoin, Illinois
NPI 1578078242

Crystal Newcomb is a Mental Health Counselor based in Du Quoin, IL and is specialized in Mental Health. Crystal Newcomb practices in Du Quoin, IL. The NPI Number for Crystal Newcomb is 1578078242 and holds a License No. (Illinois).

The current practice location address for Crystal Newcomb is 1016 S Madison St, Du Quoin, IL and can be reached out via phone at 618-542-4357 and via fax at 618-542-3442.

Location: 1016 S Madison St, Du Quoin, IL, 62832-2442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578078242
Provider Name
Crystal Newcomb
Credential
Provider Entity Type
Individual
Gender
Female
Address
1016 S Madison St, Du Quoin, IL, 62832-2442
Phone Number
618-542-4357
Fax Number
618-542-3442
Provider Enumeration Date
12/04/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376130900001 05 IL
institution
Provider Business Practice Location Address Details
Address
1016 S Madison St
City
Du Quoin
State
Illinois
Zip
62832-2442
Phone Number
618-542-4357
Fax Number
618-542-3442
person
Provider Business Mailing Address Details
Address
1016 S Madison St
City
Du Quoin
State
Illinois
Zip
62832-2442
Phone Number
618-542-4357
Fax Number
618-542-3442
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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