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NPI Code Detail

MEDICARE: MRS. BARBARA E ESTES M.S.

MEDICARE: MRS. BARBARA E ESTES M.S.
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
1101YP2500XProfessional Counselor180001038IL

General Provider Information

NPI Number : 1073625042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA E ESTES M.S.
Provider Business Mailing Address
First Line : 750 BROADWAY AVE E
Second Line :
City : MATTOON
State : IL
Zip : 61938-4610
Country : US
Telephone Number : 217-238-5700
Fax Number : 217-238-5767
Provider Business Practice Location Address
First Line : 750 BROADWAY AVE E
Second Line :
City : MATTOON
State : IL
Zip : 61938-4610
Country : US
Telephone Number : 217-238-5700
Fax Number : 217-238-5767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/30/2012

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Directions to “ MRS. BARBARA E ESTES M.S.” Practice Location

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