Individual
MICHAEL MCBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 W 12TH ST, ALTON, IL 62002-2304
(618) 806-3093
Mailing address
225 W 12TH ST, ALTON, IL 62002-2304
(618) 806-3093
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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