Mariah Lonyea Mims
Mariah Lonyea Mims is a Professional Counselor in Charleston, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
121 W State StCharleston, IL 61920-1359
Phone: (217) 345-4642
Fax: (217) 210-0227
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 178.018271 (IL) |
|---|
Record details
| NPI number | 1548980287 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 1, 2022 |
| Last updated in NPPES | September 1, 2022 |
| Certification date | September 1, 2022 |
| Mailing address | 2350 Bostic Dr Apt 301, Charleston, IL 61920-4921 |
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