Charity Tennyson, BA

Individual provider Active NPI Mental Health Counselor · Albion, IL

NPI 1487842449 · NPPES record last updated Nov 6, 2007

Key facts

NPI
1487842449
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
254 S 5TH St
Albion, IL 62806-1121
Phone
(618) 445-3559
Fax
(618) 445-2912
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

254 S 5TH St
Albion, IL 62806-1121

Mailing address

PO Box M
504 Micah Drive
Olney, IL 62450-0913
Phone (618) 395-4306

Other providers in Albion, IL

All providers in Albion, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.