Individual
BARBARA GEAN GREAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
404 S LEWIS LN, CARBONDALE, IL 62901-3547
(618) 519-9200
Mailing address
109 CALIFORNIA ST, CARTERVILLE, IL 62918-1923
(618) 985-8221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149014388
LICENSE
IL
05
—
370966854006
—
IL
05
—
370966854024
—
IL
01
—
CF3444
MEDICARE RR
IL
Enumeration date
02/06/2008
Last updated
03/17/2018
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