RANDALL TENNIS, CADC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1174588792
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 5435 (IL) |
Frequently Asked Questions
NPI 1174588792 is the National Provider Identifier for RANDALL TENNIS, CADC, a Counselor - Addiction (Substance Use Disorder) provider located in Pekin, IL. This NPI was enumerated on April 18, 2006.
RANDALL TENNIS, CADC practices at 3248 VANDEVER AVE, Pekin, IL 61554.
Quick Facts
- NPI
- 1174588792
- Type
- Individual
- Enumerated
- Apr 18, 2006
- Last Updated
- Jul 8, 2007
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