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Segolame Lebogang

Counselor, Mental Health in Carbondale, IL. Individual provider (NPI-1).

NPI number1831919331
StatusActive
Last updated in NPPESOct 10, 2024

Details

NPI
1831919331
Entity type
Individual (NPI-1)
Name
Segolame Lebogang
Sex
Female
Sole proprietor
No
Enumeration date
Oct 10, 2024
Certification date
Oct 10, 2024
Last updated
Oct 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

301 S Wall St
Carbondale, IL 62901-3240

Phone 618-252-9036

Mailing address

1201 Locust St
Eldorado, IL 62930-1722

Phone 618-252-9036 · Fax 618-216-9993

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Other Mental Health Counselor providers in Carbondale, IL

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