Emily Pembrook
Mental Health Counselor
2615 Edwards St
Alton
, Illinois 62002-3915
Emily Pembrook
Mental Health Counselor
2615 Edwards St
Alton
, Illinois 62002-3915
(618) 462-2504
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Emily Pembrook
- 2615 Edwards St
- Alton, IL
- Zip : 62002-3915
- Fax : (618) 462-2504
- Phone : (618) 462-2331
Second Address
- Emily Pembrook
- 2615 Edwards St
- Alton, IL
- Zip : 62002-3915
- Fax : (618) 462-2504
- Phone : (618) 462-2331
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003219478 |
|---|---|
| Provider Name | Emily Pembrook |
| First Address | Alton, IL 62002-3915 |
| Second Address | Alton, IL 62002-3915 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2014 |
| Last Update Date | 30/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.