Madison Emmerich, RSA

NPI #1063269769 in Mattoon, Illinois

Provider Information

NPI Number: 1063269769
Entity Type: Individual
Name: Madison Emmerich, RSA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: RSA
Enumeration Date: May 1, 2024
Last Updated: May 1, 2024

Practice Location

Address: 750 BROADWAY AVE E
City: Mattoon
State: Illinois
ZIP Code: 61938-4610
Phone: (217) 238-5735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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