person
Nathaniel Branch
Addiction (Substance Use Disorder) Counselor in Dekalb, Illinois
NPI 1043920036

Nathaniel Branch is an Addiction (Substance Use Disorder) Counselor based in Dekalb, IL and is specialized in Addiction (Substance Use Disorder). Nathaniel Branch practices in Dekalb, IL. The NPI Number for Nathaniel Branch is 1043920036 and holds a License No. (Illinois).

The current practice location address for Nathaniel Branch is 12 Health Services Dr, Dekalb, IL and can be reached out via phone at 815-756-4875.

Location: 12 Health Services Dr, Dekalb, IL, 60115-7109
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Provider Profile Details
NPI Number
1043920036
Provider Name
Nathaniel Branch
Credential
Provider Entity Type
Individual
Gender
Male
Address
12 Health Services Dr, Dekalb, IL, 60115-7109
Phone Number
815-756-4875
Fax Number
Provider Enumeration Date
11/30/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4745791890010 05 IL
institution
Provider Business Practice Location Address Details
Address
12 Health Services Dr
City
State
Zip
60115-9637
Phone Number
815-756-4875
Fax Number
person
Provider Business Mailing Address Details
Address
12 Health Services Dr
City
State
Zip
60115-9637
Phone Number
815-756-4875
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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