MEDICARE: MRS. DELORES J RING LCPC

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
1	101YP2500X	Professional Counselor		IL

General Provider Information

NPI Number	:	1497826739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DELORES J RING LCPC

Provider Business Mailing Address
First Line	:	404 HEMLOCK PT
Second Line	:
City	:	PETERSBURG
State	:	IL
Zip	:	62675-7518
Country	:	US
Telephone Number	:	217-632-3681
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 S 7TH ST
Second Line	:
City	:	PETERSBURG
State	:	IL
Zip	:	62675-1557
Country	:	US
Telephone Number	:	217-632-0055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	07/08/2007

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