Individual provider · Type 1 NPI
Connie Deckard, MA
Mental Health Counselor · Lawrenceville, IL
NPI number
1962063354
Active
Practice location
Lawrence County Health Department Behavior Health, 11020 State Route 250
Lawrenceville, IL 62439
Fax (618) 943-3657
Mailing address
P.o. Box 516
Lawrenceville, IL 62439
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 1962063354
Connie Deckard, MA's National Provider Identifier is 1962063354, issued on Jun 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, IL. The record was last updated on Jun 26, 2019.