Cantrell, John

Cantrell, John is an individual health care provider with primary practice located at 300 Red Bud Ln , Vienna IL 62995-1792. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Cantrell, John can be contacted via phone (618) 658-3079.

Contact Information

Primary practice address
300 Red Bud Ln Vienna IL 62995-1792
Phone: (618) 658-3079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1942065941
LBN Legal business name Cantrell, John
Credentials BA, MHP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2024
Last updated Feb 19th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers