Individual
WENDEL ARMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16338 N IL HIGHWAY 37, MOUNT VERNON, IL 62864-8178
(618) 242-1546
(618) 242-6392
Mailing address
16338 N IL HIGHWAY 37, MOUNT VERNON, IL 62864-8178
(618) 242-1546
(618) 242-6392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649404708
—
IL
05
—
257254917
—
IL
Enumeration date
10/06/2017
Last updated
10/06/2017
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