Individual
MR. CLINT HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 NORTH BASIN ROAD, FAIRFIELD, IL 62837
(618) 842-2125
(618) 842-4154
Mailing address
PO BOX M, 504 MICAH DRIVE, OLNEY, IL 62450-0913
(618) 395-4306
(618) 395-4507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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