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1942065941
JOHN CANTRELL
VIENNA, IL
NPI
1942065941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2024-02-19
Last Update Date
2024-02-19
Business Address
JOHN CANTRELL BA, MHP
300 RED BUD LN
VIENNA, IL 62995-1792
Phone number: 618-658-3079
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Mailing Address
JOHN CANTRELL BA, MHP
300 RED BUD LN
VIENNA, IL 62995-1792
Phone number: 618-658-3079
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