Brent Cummins

NPI #1922551837 in Granite City, Illinois

Provider Information

NPI Number: 1922551837
Entity Type: Individual
Name: Brent Cummins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 27, 2016
Last Updated: Jul 27, 2016

Practice Location

Address: 50 NORTHGATE INDUSTRIAL DR
City: Granite City
State: Illinois
ZIP Code: 62040-6805
Phone: (618) 512-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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