SearchIllinois101YA0400X

Allissa Keoughan, BA

NPI 1881006369 · on the registry since 2014

Practice

Address
407 N Basin Rd
Fairfield, IL 62837
Phone
(618) 842-2125
Fax
(618) 842-4154
Organisation at this address
Egyptian Health Department
Egyptian Health Department
S E Illinois Counseling Ctrs
South Eastern Illinois Counseling Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YM0800X
Sex
Female
Record last updated
2014-06-03

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