Webster Cantrell Youth Advocacy

NPI #1710518741 in Decatur, Illinois

Provider Information

NPI Number
1710518741
Entity Type
Organization
Organization Name
Webster Cantrell Youth Advocacy
Subpart
Yes (part of a larger organization)
Parent Organization
WEBSTER CANTRELL YOUTH ADVOCACY
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jan 29, 2020
Last Updated
May 17, 2021

Practice Location

Address
202 E ELDORADO ST
ZIP Code
62523-1039
Phone
(217) 422-7864

Authorized Official

Name
MR. MICHAEL WARNER, MS,ED, LCPC, CADC
Title
CEO
Phone
(217) 423-6961

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)
Counselor - Mental HealthMental Health

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