Alexis L Maltby, RSA
Counselor, Mental Health in Beardstown, IL. Individual provider (NPI-1).
NPI number1477282986
StatusActive
Last updated in NPPESJun 9, 2022
Details
- NPI
- 1477282986
- Entity type
- Individual (NPI-1)
- Name
- Alexis L Maltby
- Credential
- RSA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2022
- Certification date
- Jun 9, 2022
- Last updated
- Jun 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
121 E 2nd StBeardstown, IL 62618-1263
Phone 217-323-2980 · Fax 217-323-3731
Mailing address
121 E 2nd StBeardstown, IL 62618-1263
Phone 217-323-2980 · Fax 217-323-3731
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