Individual
MS. ROSEMARY IRENE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRSS, CADC
Contact information
Practice address
505 E GRANT ST, MACOMB, IL 61455-3352
(309) 836-1582
(309) 836-1576
Mailing address
505 E GRANT ST, MACOMB, IL 61455-3352
(309) 836-1582
(309) 836-1576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30141
IL
Other
Enumeration date
02/15/2012
Last updated
04/04/2018
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