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NPI Profile for JOHN CANTRELL in VIENNA, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1942065941 |
|
| Status | Active | |
| Credentials | BA, MHP | |
| Entity | Individual | |
| Enumeration date | 02/19/2024 | |
| Last updated | 02/19/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JOHN CANTRELL
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JOHN CANTRELL, BA, MHP