Individual
ALEXANDER R SOCORRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CPT, RSS, CHW
Contact information
Practice address
120 N ILLINOIS AVE, CARBONDALE, IL 62901-1450
(618) 914-7249
Mailing address
125 GOBIN LN, MURPHYSBORO, IL 62966-5337
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
01/26/2026
Last updated
02/24/2026
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