Individual
MR. JAMES E. BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, NCC, LPC
Contact information
Practice address
219 E MAIN ST, MASCOUTAH, IL 62258-2136
(618) 792-0613
Mailing address
219 E MAIN ST, MASCOUTAH, IL 62258-2136
(618) 792-0613
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178016245
IL
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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