IndividualActive
Gary Whitehead, BA
NPI 1659689784 · Mental Health Counselor · Flora, IL
Provider details
- NPI number
- 1659689784
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- BA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
901 W 3rd St
Flora, IL 62839-1287
Phone: (618) 662-2871
Fax: (618) 662-4748
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box M
Olney, IL 62450-0913
Registry dates
- Enumerated
- 2010-09-23
- Last updated
- 2010-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.