Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLES LUTHER UPCHURCH, RSA

Active

MR. CHARLES LUTHER UPCHURCH, RSA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BEARDSTOWN, Illinois. NPI 1013400092 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · BEARDSTOWN, IL

Registration Details

NPI Number: 1013400092
Provider Type: Individual
Gender: Male
NPI Issued: Jun 13, 2018 (7.989927838483 yrs)
Last Updated: Jun 13, 2018

Practice Information

Address: 121 E 2ND ST

BEARDSTOWN, IL, 626181263
Browse IL providers · Browse ZIP 62618
Phone: 2173232980
Fax: 2173233731
Primary Specialty: Addiction (Substance Use Disorder) Counselor
101YA0400X

Other Addiction (Substance Use Disorder) Counselor Providers in BEARDSTOWN, IL

Name	Credential	NPI
MRS. NANCY SHAFER	RN,CADC,MISA 1	1326194408
TANYA BOYD	—	1730418161
MRS. AMANDA RENEE ISRINGHAUSEN	BA	1033648548
MR. MICHAEL LEE SMITH	BA,JD	1699205567
MS. KAYLA ELISABETH WRIGHT	B.S.	1316430390
BAILEY MARIE COOPER	B.A.	1972097806

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.