Individual
MR. LEW RATCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1307 W MAIN ST, MARION, IL 62959-1139
(618) 997-5336
(618) 993-2969
Mailing address
1495 GRASSY RD, MAKANDA, IL 62958-5133
(618) 997-5336
(618) 993-2969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
180.005968
IL
101YP2500X
Professional Counselor
180.005968
IL
Other
Enumeration date
04/22/2010
Last updated
05/11/2010
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