Individual
MRS. GRETCHEN REBEKAH CORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
201 W WALNUT ST, ROBINSON, IL 62454
(618) 469-1020
Mailing address
201 W WALNUT ST, ROBINSON, IL 62454-2149
(618) 469-1020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178014714
IL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/24/2011
Last updated
04/29/2019
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