JOHN CANTRELL

VIENNA, IL
NPI1942065941
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2024-02-19
Last Update Date2024-02-19
Business Address
JOHN CANTRELL BA, MHP
300 RED BUD LN
VIENNA, IL 62995-1792
Phone number: 618-658-3079
Mailing Address
JOHN CANTRELL BA, MHP
300 RED BUD LN
VIENNA, IL 62995-1792
Phone number: 618-658-3079