Individual provider · Type 1 NPI

Allissa Keoughan, BA

Addiction (Substance Use Disorder) Counselor · Fairfield, IL

NPI number 1881006369 Active

Practice location

407 N Basin Rd
Fairfield, IL 62837-9639

Fax (618) 842-4154

Mailing address

504 Micah Dr, Drawer M
Olney, IL 62450-4720

Specialties and licenses

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

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1881006369

Allissa Keoughan, BA's National Provider Identifier is 1881006369, issued on Jun 2, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, IL. The record was last updated on Jun 3, 2014.