MR. Philip Norman Mirell, MSW

NPI #1417011057 in Champaign, Illinois

Provider Information

NPI Number: 1417011057
Entity Type: Individual
Name: MR. Philip Norman Mirell, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MSW
Enumeration Date: Dec 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 202 WEST PARK STTREET
Address 2: MENTAL HEALTH CENTER
City: Champaign
State: Illinois
ZIP Code: 61820
Phone: (217) 373-2430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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