Individual
DEANNA CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
209 W COMMERCIAL DR STE H, CARTERVILLE, IL 62918-2057
(618) 351-9700
(618) 351-9701
Mailing address
PO BOX 2625, CARBONDALE, IL 62902-2625
(618) 351-9700
(618) 351-9701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.012084
IL
101YM0800X
Mental Health Counselor
Primary
180.011665
IL
Other
Enumeration date
04/05/2017
Last updated
05/10/2022
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