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Individual

JOANNA M MEINERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHP, CRADC, MISA I

Contact information

Practice address
580 8TH ST, CARLYLE, IL 62231-1803
(618) 594-4581
(618) 594-8482
Mailing address
580 8TH ST, CARLYLE, IL 62231-1803
(618) 594-4581
(618) 594-8482

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17695
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017695
DASA- DEPT OF ALCOHOL AND SUBSTANCE ABUSE
IL
Enumeration date
02/02/2015
Last updated
02/02/2015
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