Tim Dale Monken is a Professional in Centralia, Illinois. Tim Dale Monken practices all healthcare services and medical treatments related to Professional. The NPI Number for Tim Dale Monken is 1639219025. The last update date is 2007-07-08.
Tim Dale Monken's current location address is 417 E Calumet St, Centralia, Illinois. You can contact this provider via phone number 6183227580 and fax number 6185326805. The mailing address for Tim Dale Monken is 417 E Calumet St, Centralia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tim Dale Monken |
|---|---|
| Address | 417 E Calumet St, Centralia, Illinois |
| Phone Number | 6183227580 |
| Fax Number | 6185326805 |
| Sole Proprietor | Y |
| Credentials | MA, LCPC |
NPI Number Detail
| NPI Number | 1639219025 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 417 E Calumet St |
|---|---|
| City | Centralia |
| State | Illinois (IL) |
| Post Code | 628014562 |
| Phone Number | 6183227580 |
| Fax Number | 6185326805 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 180-002723 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the unique identification code assigned to Tim Dale Monken by the Centers for Medicare & Medicaid Services?
The Tim Dale Monken has been issued the NPI (National Provider Identifier) 1639219025. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Tim Dale Monken's facilities are geographically located?
The facilities of Tim Dale Monken are physically situated at the following location: 417 E Calumet St, Centralia, IL, 628014562.
What is the Tim Dale Monken's specialty and taxonomy code?
The Tim Dale Monken's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639219025 to Tim Dale Monken?
The Centers for Medicare & Medicaid Services assigned the 1639219025 to Tim Dale Monken on 2007-02-07.
When was the information regarding Tim Dale Monken, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tim Dale Monken, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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