Mary Gates-gully is a Centralia, Illinois based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Mary Gates-gully is 21816 for Addiction (Substance Use Disorder) Counselor in Illinois. Her current practice location is 904 E. Martin Luther King Drive, Centralia. Patients can book an appointment with her at 618-533-1391.
Mary Gates-gully is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Mary Gates-gully speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mary Gates-gully
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Female
Credentials:
MS, CADC
Accepts Medicare Assignment:
No
Practice Address:
904 E. Martin Luther King Drive, Centralia, Illinois, 62801
Phone:
618-533-1391
Fax:
618-533-0012
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1013105295
NPI Enumeration Date:
12 Oct, 2007
NPI Last Update On:
07 Feb, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Gates-gully are as mentioned below.
License Number
Specialization
State
Status
21816
Addiction (Substance Use Disorder) Counselor
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Gates-gully such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
370915481007
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
904 E. Martin Luther King Drive, Centralia, Illinois
Zip:
62801
Phone Number:
618-533-1391
Fax Number:
618-533-0012
Patients can reach Mary Gates-gully at 904 E. Martin Luther King Drive, Centralia, Illinois or can call to book an appointment on 618-533-1391. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.