Doctor Name: | MR. BURNELL K STEELMAN |
NPI Number: | 1053529941 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.P.C. |
License Number: | 180006891 |
Business Practice Address: | 302 Maple Dr Catlin, IL - 618179203 |
Business Phone Number: | 2172609396 |
Business Fax Number: | |
Mailing Address: | 302 Maple Dr, CATLIN |
State: | IL |
Postal Code: | 618179203 |
Phone Number: | 2172609396 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 01/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 180006891 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |