Arthur David Allred, LCPC
Individual provider Active NPI Professional Counselor · Marion, IL
NPI 1942569017 · NPPES record last updated May 10, 2012
Key facts
- NPI
- 1942569017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.001084 (IL)
- Practice address
- 1307 W Main St
Marion, IL 62959-1139 - Phone
- (618) 997-5336
- NPI assigned
- May 10, 2012
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.001084 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.001084 | IL | Yes |
Addresses
Primary practice location
1307 W Main St
Marion, IL 62959-1139
Mailing address
804 New Day Way
Marion, IL 62959-3760
Phone (618) 997-5174
Other providers in Marion, IL
- James O Alexander
- Jennifer L Alexander
- Shabia K Alimohamed-Janmohamed
- All American Access & Mobility
- Allan C Gocio MD Neurosurgical Care, LLC
- Carrie Almaroad
- Lucas Raymond Alstat
- Alternative Health Care, LLC
- Barbara Alvis
- Ashley Marie Amberger
All providers in Marion, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.