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Organization · Addiction (Substance Use Disorder) Counselor · Peoria, IL

NPI
1194977264
Type
Organization (Type 2)
Primary specialty
Addiction (Substance Use Disorder) Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YA0400X
License number
A13320001A (IL)
Enumerated
2008-10-21
Last updated
2008-10-21
Practice location
2390 W Nebraska Ave
Peoria, IL 61604-3111
(309) 676-8762

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