Individual
MRS. MARY ANN SCUFFHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-6611
(815) 284-2834
Mailing address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-6611
(815) 284-2834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
IL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
IL
Other
Enumeration date
08/23/2006
Last updated
09/11/2025
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