STEPHEN L DEJAYNES


Address: 100 Hillcrest Drive, Washington, IL 61571
Phone: 3094442800

STEPHEN L DEJAYNES (NPI# 1639410772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639410772
Entity Type Individual
Full Name STEPHEN L DEJAYNES
Credential LCPC
Practice Address 100 Hillcrest Drive
Washington
IL 61571
Mailing Address 414 Mackenie Place
Germantown Hills
IL 61548
Practice Telephone 3094442800
Practice Fax Number 3094442866
Mailing Telephone 3092561654
Enumeration Date 2013-03-14
Last Update Date 2013-03-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
1041C700X IL Behavioral Health & Social Service Providers

Office Location

Street Address 100 HILLCREST DRIVE
City WASHINGTON
State IL
Zip Code 61571

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1164904504 Kelly Hornberger Physical Therapist 1201 Newcastle Rd., Washington, IL 61571 2018-09-01
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1871878371 M Lisa Kim Pharmacist 1700 Saddleridge Ct, Washington, IL 61571 2011-10-15
1073805156 Skill Sprout International Behavioral Analyst 102 Walnut Street, Washington, IL 61571 2011-05-09
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1851595128 Michael John Herman Dentist 106 So Cummings Lane, Washington, IL 61571 2007-06-12
1861539132 Gary Lee Cunningham Dentist 5 Laurel Ct., Washington, IL 61571 2007-01-30
1790745958 Jane A Goeken Physical Therapist 209 North Cummings Lane, Washington, IL 61571 2006-03-23
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 61571

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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