Carothers, Chester A
Carothers, Chester A is an individual health care provider with primary practice located at 10314 Lincoln Trl Ste 106 , Fairview Heights IL 62208-1801. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carothers, Chester A can be contacted via phone (618) 875-9355.Contact Information
Primary practice address
10314 Lincoln Trl Ste 106
Fairview Heights IL 62208-1801
Phone: (618) 875-9355
Fax: (630) 425-8900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.017330 | Illinois |
Profile Details
| NPI number | 1265808612 |
|---|---|
| LBN Legal business name | Carothers, Chester A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2015 |
| Last updated | Aug 25th, 2020 - about 5 years 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.
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