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Brent Cummins
Addiction (Substance Use Disorder) Counselor in Granite City, Illinois
NPI 1922551837

Brent Cummins is an Addiction (Substance Use Disorder) Counselor based in Granite City, IL and is specialized in Addiction (Substance Use Disorder). Brent Cummins practices in Granite City, IL. The NPI Number for Brent Cummins is 1922551837 and holds a License No. 178.009554 (Illinois).

The current practice location address for Brent Cummins is 50 Northgate Industrial Dr, Granite City, IL and can be reached out via phone at 618-512-1800. You can also correspond with Brent Cummins through the mailing address at 50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL - 62040-6805 (mailing address contact number: 618-512-1800).

Location: 50 Northgate Industrial Dr, Granite City, IL, 62040-6805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922551837
Provider Name
Brent Cummins
Credential
Provider Entity Type
Individual
Gender
Male
Address
50 Northgate Industrial Dr, Granite City, IL, 62040-6805
Phone Number
618-512-1800
Fax Number
Provider Enumeration Date
07/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
50 Northgate Industrial Dr
City
Granite City
State
Illinois
Zip
62040-6805
Phone Number
618-512-1800
Fax Number
person
Provider Business Mailing Address Details
Address
50 Northgate Industrial Dr
City
Granite City
State
Illinois
Zip
62040-6805
Phone Number
618-512-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
23197 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
178.009554 (Illinois)
Definition
Definition to come...
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