Individual provider · Type 1 NPI

Michael Gary

Mental Health Counselor · Carbondale, IL

NPI number 1760288716 Active

Practice location

300 N Smith St
Carbondale, IL 62901-1131

Call (618) 353-7245 Map

Mailing address

PO Box 3892
Carbondale, IL 62902-3892

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800X178.020293 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1760288716

Michael Gary's National Provider Identifier is 1760288716, issued on Feb 20, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carbondale, IL. The record was last updated on Feb 20, 2025.