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Individual

BRENT SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
403 MUNICIPAL DR, CARTERVILLE, IL 62918-2042
(618) 319-6069
(618) 319-4720
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1440

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
12/07/2012
Last updated
12/28/2020
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