Individual ProviderRuth Kathryn PearsonCounselorBehavioral Health & Social Service ProvidersPractice Address3021 Montvale Dr, Suite D, Springfield, IL 62704-5389(217) 787-8780(217) 787-8360PECOS EnrollmentBased on the most recent information from CMS, provider Ruth Kathryn Pearson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1215013313Provider TypeIndividualFull NamePearson, Ruth KathrynTitleMs.CredentialMA, LCPC, CSAT, CMATGenderFemaleSole ProprietorYesEnumeration Date10/31/2006Last Updated6/15/2011Contact InformationPractice LocationPractice Address3021 Montvale Dr, Suite D, Springfield, IL 62704-5389Phone(217) 787-8780Fax(217) 726-8220Mailing LocationMailing Address5116 Eagle Rdg, Springfield, IL 62711-7811Phone(217) 787-8360FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180-002016Illinois