Individual provider · NPI-1
Charles Armstrong, RSA
Counselor, Mental Health · Mattoon, IL
NPI number1073085569
StatusActive
Last updated in NPPESDec 20, 2018
Details
- NPI
- 1073085569
- Entity type
- Individual (NPI-1)
- Name
- Charles Armstrong
- Credential
- RSA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2018
- Last updated
- Dec 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
750 Broadway Ave EMattoon, IL 61938-4610
Phone 217-238-5700
Mailing address
750 Broadway Ave EMattoon, IL 61938-4610
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