Organization · Type 2 NPI
Webster Cantrell Youth Advocacy
Mental Health Counselor · Decatur, IL
NPI number
1265063291
Active
Practice location
3 Hilltop Dr
Decatur, IL 62521-4402
Fax (217) 330-8276
Mailing address
1942 E Cantrell St
Decatur, IL 62521-3214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1265063291
Webster Cantrell Youth Advocacy's National Provider Identifier is 1265063291, issued on Jan 29, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, IL. The record was last updated on May 17, 2021.