SearchIllinois1041C0700X

Betsy Van Brocklin, MSW

NPI 1649537747 · on the registry since 2012 · sole proprietor

Practice

Address
340 W State St
Jacksonville, IL 62650
Phone
(217) 245-6126
Fax
(217) 245-4296
Organisation at this address
Mental Health Centers Of Central Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois