is a Addiction (substance Use Disorder) in Paris, Illinois. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for is 1346407210. The last update date is .
's current location address is Po Box 1118, Paris, Illinois. You can contact this provider via phone number 2174654118 and fax number 2174631899. The mailing address for is Po Box 1118, Paris, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 1118, Paris, Illinois |
| Phone Number | 2174654118 |
| Fax Number | 2174631899 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1346407210 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 1118 |
|---|---|
| City | Paris |
| State | Illinois (IL) |
| Post Code | 619445118 |
| Phone Number | 2174654118 |
| Fax Number | 2174631899 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13709 | IL | IAODAPCA CERTIFICATE |
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