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1487208815
JOHNATHAN MEHRTENS
ALTON, IL
NPI
1487208815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 178013908)
Enumeration Date
2019-07-24
Last Update Date
2019-07-24
Business Address
JOHNATHAN MEHRTENS LPC
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
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Mailing Address
JOHNATHAN MEHRTENS LPC
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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