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Contact Information

VICKIE Y BEARD
103 S JOHNSON ST
MACOMB, IL61455-2134
 Phone: 309-833-2008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for VICKIE Y BEARD · (Female)

NPI # 1578853164
Status Active
Credentials
Entity Individual
Enumeration date 04/15/2011
Last updated 11/30/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 178.007584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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