Individual
ERIC EBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW QMHP
Contact information
Practice address
406 E VINE ST, VIENNA, IL 62995-1612
(618) 658-3079
(618) 658-2759
Mailing address
406 E VINE ST, VIENNA, IL 62995-1612
(618) 658-3079
(618) 658-2759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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