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Stephanie Marcela Mondon

Clinic/Center, Adolescent and Children Mental Health in Carbondale, IL. Individual provider (NPI-1).

NPI number1750111811
StatusActive
Last updated in NPPESAug 5, 2024

Details

NPI
1750111811
Entity type
Individual (NPI-1)
Name
Stephanie Marcela Mondon
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 5, 2024
Certification date
Aug 2, 2024
Last updated
Aug 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0855X Clinic/Center, Adolescent and Children Mental Health––Yes

Practice location

301 S Wall St
Carbondale, IL 62901-3240

Phone 618-252-9036

Mailing address

406 N Smith St
Carbondale, IL 62901-1133

Phone 202-341-9067

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Other Adolescent and Children Mental Health Clinic/Center providers in Carbondale, IL

All 5 Adolescent and Children Mental Health Clinic/Center providers in Carbondale · All 1,335 providers in Carbondale

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