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Individual

DAVID JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2615 EDWARDS ST, ALTON, IL 62002-3915
(618) 462-2331
(618) 462-2504
Mailing address
2615 EDWARDS ST, ALTON, IL 62002-3915
(618) 462-2331
(618) 462-2504

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/02/2014
Last updated
10/02/2014
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