person
Tim Dale Monken, MA,LCPC
Professional Counselor in Centralia, Illinois
NPI 1639219025

Tim Dale Monken is a Professional Counselor based in Centralia, IL and is specialized in Professional. Tim Dale Monken practices in Centralia, IL and has the professional credentials of MA,LCPC. The NPI Number for Tim Dale Monken is 1639219025 and holds a License No. 180-002723 (Illinois).

The current practice location address for Tim Dale Monken is 417 E Calumet St, Centralia, IL and can be reached out via phone at 618-322-7580 and via fax at 618-532-6805. You can also correspond with Tim Dale Monken through the mailing address at 417 E CALUMET ST, CENTRALIA, IL - 62801-4562 (mailing address contact number: 618-322-7580).

Location: 417 E Calumet St, Centralia, IL, 62801-4562
person
Provider Profile Details
NPI Number
1639219025
Provider Name
Tim Dale Monken
Credential
MA,LCPC
Provider Entity Type
Individual
Gender
Male
Address
417 E Calumet St, Centralia, IL, 62801-4562
Phone Number
618-322-7580
Fax Number
618-532-6805
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
417 E Calumet St
City
State
Zip
62801-4562
Phone Number
618-322-7580
Fax Number
618-532-6805
person
Provider Business Mailing Address Details
Address
417 E Calumet St
City
State
Zip
62801-4562
Phone Number
618-322-7580
Fax Number
618-532-6805
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180-002723 (Illinois)
Definition
Definition to come...
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