Individual
ALICE BADGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2020 BROADWAY ST STE A, MOUNT VERNON, IL 62864-2973
(618) 634-7753
Mailing address
6 SUNSET DR, MOUNT VERNON, IL 62864-2215
(616) 183-1689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180006424
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180006424
STATE LICENSE NUMBER
IL
Enumeration date
01/04/2007
Last updated
10/14/2025
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