Individual
AZURE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
4110 N WATER TOWER PL, MOUNT VERNON, IL 62864-6295
(618) 242-8266
(618) 242-1150
Mailing address
307 N 9TH ST, ALTAMONT, IL 62411-1808
(618) 292-7801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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