IndividualActive
Charles Upchurch, RSA
NPI 1013400092 · Addiction (Substance Use Disorder) Counselor · Beardstown, IL
Provider details
- NPI number
- 1013400092
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- RSA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
121 E 2nd St
Beardstown, IL 62618-1263
Phone: (217) 323-2980
Fax: (217) 323-3731
Approximate (ZIP-level) locationGet directions
Mailing address
121 E 2nd St
Beardstown, IL 62618-1263
Registry dates
- Enumerated
- 2018-06-13
- Last updated
- 2018-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.