Healthcare Provider Details

I. General information

NPI: 1497826739
Provider Name (Legal Business Name): DELORES J RING LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEE RING LCPC

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 S 7TH ST
PETERSBURG IL
62675-1557
US

IV. Provider business mailing address

404 HEMLOCK PT
PETERSBURG IL
62675-7518
US

V. Phone/Fax

Practice location:
  • Phone: 217-632-0055
  • Fax:
Mailing address:
  • Phone: 217-632-3681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: