Michael L Jersey Valid NPI
Individual provider · Mental Health Counselor · Mt Sterling, IL
- NPI
- 1063632859
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-04-26
- Last updated
- 2007-07-08
Practice location
700 Se Cross, Mental Health Centers Of Western Illinois
Mt Sterling, IL 62353
(217) 773-3325