Individual provider · Type 1 NPI

Gary R. Whitehead, BA

Mental Health Counselor · Flora, IL

NPI number 1659689784 Active

Practice location

901 W 3rd St
Flora, IL 62839-1287

Call (618) 662-2871 Map

Fax (618) 662-4748

Mailing address

PO Box M, 504 Micah Drive
Olney, IL 62450-0913

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1659689784

Gary R. Whitehead, BA's National Provider Identifier is 1659689784, issued on Sep 23, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Flora, IL. The record was last updated on Sep 23, 2010.