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NPI Code Detail

MEDICARE: CONSTANCE J ARSENEAU LCSW

MEDICARE:   CONSTANCE J ARSENEAU  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor149006114IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1149006114OTHERILSTATE LICENSE NUMBER

General Provider Information

NPI Number : 1003135179
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONSTANCE J ARSENEAU LCSW
Provider Business Mailing Address
First Line : 1510 W OTTAWA RD
Second Line :
City : PAXTON
State : IL
Zip : 60957-4090
Country : US
Telephone Number : 217-379-4302
Fax Number : 217-379-4304
Provider Business Practice Location Address
First Line : 1510 W OTTAWA RD
Second Line :
City : PAXTON
State : IL
Zip : 60957-4090
Country : US
Telephone Number : 217-379-4302
Fax Number : 217-379-4304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2010
Last Update Date : 05/27/2010

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Directions to “ CONSTANCE J ARSENEAU LCSW” Practice Location

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