Individual provider · Type 1 NPI
Charles Luther Upchurch, RSA
Addiction (Substance Use Disorder) Counselor · Beardstown, IL
NPI number
1013400092
Active
Practice location
121 E 2nd St
Beardstown, IL 62618-1263
Fax (217) 323-3731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1013400092
Charles Luther Upchurch, RSA's National Provider Identifier is 1013400092, issued on Jun 13, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beardstown, IL. The record was last updated on Jun 13, 2018.