St. Clair, Renee Ann

St. Clair, Renee Ann is an individual health care provider with primary practice located at 201 W. Springfield Ave. Suite 1005-1006, Champaign IL 61820. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. St. Clair, Renee Ann can be contacted via phone (217) 693-4918.

Contact Information

Primary practice address
201 W. Springfield Ave. Suite 1005-1006 Champaign IL 61820
Phone: (217) 693-4918
Fax: (217) 531-4047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166.000861 Illinois

Profile Details

NPI number 1225303910
LBN Legal business name St. Clair, Renee Ann
Credentials PH.D., LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2012
Last updated Jun 3rd, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225303910 NPPES
Illinois MEDICAID 1225303910
Illinois MEDICAID 1538561691

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