Organization
FUNDAMENTAL BEHAVIORAL HEALTH
Active
Other names
Fundamental Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOELLEN JUENGER FPA-NP (FNP-BC, PMHNP-BC)
(618) 401-8225
Entity
Organization
Contact information
Practice address
604 BEVERLY LN, COLLINSVILLE, IL 62234-2912
(618) 401-8225
Mailing address
PO BOX 204, COLLINSVILLE, IL 62234-0204
(618) 401-8225
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
01/09/2024
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