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Organization
MASSAC COUNTY MENTAL HEALTH
Active
Organization
MASSAC COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE RATH (EXECUTIVE DIRECTOR)
(618) 524-9368
Entity
Organization
Contact information
Practice address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(618) 524-9368
Mailing address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(618) 524-9368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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