Individual
MRS. MEGAN ELIZABETH STINNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S LOCUST ST, CENTRALIA, IL 62801-3506
(618) 533-1391
(618) 533-0012
Mailing address
4236 TONTI RD, SALEM, IL 62881-4710
(618) 548-3629
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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