AMENIAH V. BERNARD

O FALLON, IL
NPI1598109647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  29861)
Enumeration Date2013-04-19
Last Update Date2013-04-19
Business Address
-- AMENIAH V. BERNARD CADC
517 JUNIPER DR
O FALLON, IL 62269-3310
Phone number: 618-530-8822
Mailing Address
-- AMENIAH V. BERNARD CADC
517 JUNIPER DR
O FALLON, IL 62269-3310
Phone number: 618-530-8822
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