Organization · Type 2 NPI
With Psychotherapy
Mental Health Counselor · O Fallon, IL
NPI number
1407750144
Active
Practice location
115 Ruth Dr
O Fallon, IL 62269-2444
Mailing address
2501 Chatham Rd Ste N
Springfield, IL 62704-4188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1407750144
With Psychotherapy's National Provider Identifier is 1407750144, issued on Oct 6, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in O Fallon, IL. The record was last updated on Oct 28, 2026.