Individual
MRS. DIANE M MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,QMHP
Contact information
Practice address
415 CLENDENIN ST, BEARDSTOWN, IL 62618-1034
(217) 323-3230
(217) 323-3731
Mailing address
121 E 2ND ST, BEARDSTOWN, IL 62618-1263
(217) 323-3230
(217) 323-3731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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