Individual provider · Type 1 NPI

Clint Harvey

Mental Health Counselor · Fairfield, IL

NPI number 1972791689 Active

Practice location

407 North Basin Road
Fairfield, IL 62837

Call (618) 842-2125 Map

Fax (618) 842-4154

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1972791689

Clint Harvey's National Provider Identifier is 1972791689, issued on Oct 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, IL. The record was last updated on Oct 9, 2007.