Terrell, Mary Kathryn

Terrell, Mary Kathryn is an individual health care provider with primary practice located at 12 N 64Th St , Belleville IL 62223-3809. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Terrell, Mary Kathryn can be contacted via phone (618) 877-4420.

Contact Information

Primary practice address
12 N 64Th St Belleville IL 62223-3809
Phone: (618) 877-4420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178.016917 Illinois

Profile Details

NPI number 1477894269
LBN Legal business name Terrell, Mary Kathryn
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2013
Last updated Jul 28th, 2021 - about 3 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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