CRYSTINA WELLS


Address: 1307 W Main St, Marion, IL 62959-1139
Phone: 6189975336

CRYSTINA WELLS (NPI# 1477118974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477118974
Entity Type Individual
Full Name CRYSTINA WELLS
Practice Address 1307 W Main St
Marion
IL 62959-1139
Mailing Address 902 W Main St
West Frankfort
IL 62896-2210
Practice Telephone 6189975336
Practice Fax Number 6189932969
Mailing Telephone 6189376483
Mailing Fax Number 6189371440
Enumeration Date 2019-05-09
Last Update Date 2019-05-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
178014887 Behavioral Health & Social Service Providers

Office Location

Street Address 1307 W MAIN ST
City MARION
State IL
Zip Code 62959-1139

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518574029 Jessica Patterson Counselor 1307 W Main St, Marion, IL 62959-1139 2020-09-29
1184240988 Stephanie Cima Counselor 1307 W Main St, Marion, IL 62959-1139 2020-06-18
1396367348 Rebecca Hult Counselor 1307 W Main St, Marion, IL 62959-1139 2020-05-13
1457872921 Michele O'boyle Counselor 1307 W Main St, Marion, IL 62959-1139 2017-07-05
1275080475 Patricia Roebuck Counselor 1307 W Main St, Marion, IL 62959-1139 2016-09-06
1952762189 Centerstone of Illinois Counselor 1307 W Main St, Marion, IL 62959-1139 2016-03-16
1942569017 Arthur David Allred Counselor 1307 W Main St, Marion, IL 62959-1139 2012-05-10
1205193562 Faith Jones Social Worker 1307 W Main St, Marion, IL 62959-1139 2012-04-11
1740567916 Derek Jones Counselor 1307 W Main St, Marion, IL 62959-1139 2011-11-15
1003192261 Heather Sims Counselor 1307 W Main St, Marion, IL 62959-1139 2011-11-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710513486 Sarah Benitone Counselor 11264 Il-37, Marion, IL 62959 2020-03-13
1528609328 Patricia E Murphy Radiology 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 2019-10-02
1366007007 Centerstone of Illinois, Inc Community/Behavioral Health 202 S Bentley St, Marion, IL 62959 2019-05-08
1649752064 Sydney Seiter Occupational Therapist 906 Skyline Suite 100, Marion, IL 62959 2018-09-01
1497279848 Brooke Alisa Osman Licensed Practical Nurse 11531 Sunderland Road, Marion, IL 62959 2017-07-27
1912436429 Joy L. Kee Social Worker 509 South Bentley Street, Marion, IL 62959 2017-06-08
1386181170 Susan Smothers Counselor 1305 West Main Street, Marion, IL 62959 2017-01-31
1205280922 Harish Kempegowda Orthopaedic Surgery 3331 W Deyoung St Ste 201, Marion, IL 62959 2016-04-19
1942609227 Casey Hill Social Worker 1604 W. Walnut St., Marion, IL 62959 2014-08-22
1306252812 Justin M White Chiropractor 1603 W Kimmel, Marion, IL 62959 2014-07-03
Find all providers in zip 62959

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306445309 Teresa Nicole Worthy Counselor 6690 Rose Ln # B, Marion, MS 39342-9201 2020-10-21
1710513486 Sarah Benitone Counselor 11264 Il-37, Marion, IL 62959 2020-03-13
1508418211 Brenda Sue Cooper Counselor 546 Pearl St, Marion, OH 43302-4956 2019-07-12
1063970184 Joshua Richardson Counselor 1590 N Main St, Marion, VA 24354-4455 2019-03-07
1386181170 Susan Smothers Counselor 1305 West Main Street, Marion, IL 62959 2017-01-31
1972952620 Nicole Riddle Counselor 165 W Center St Ste 205, Ste 205, Marion, OH 43302-3741 2016-06-03
1871994152 Creative Mind Solutions Counselor 501 E Deyoung St, Marion, IL 62959-3328 2014-09-05
1679905970 Caleb Lantz Pusey Counselor 79 Academy St, Marion, NC 28752-3901 2013-08-08
1669712543 Sara Boilen Counselor 9075 Lost Prairie Road, Marion, MT 59925 2013-02-28
1396084026 Gay Alesia Holbrook Counselor 228 Trump Dr, Marion, VA 24354-6480 2013-01-31
Find all providers in MARION

Competitor

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City MARION
Zip Code 62959

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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