person
Randall S Tennis, CADC
Addiction (Substance Use Disorder) Counselor in Pekin, Illinois
NPI 1174588792

Randall S Tennis is an Addiction (Substance Use Disorder) Counselor based in Pekin, IL and is specialized in Addiction (Substance Use Disorder). Randall S Tennis practices in Pekin, IL and has the professional credentials of CADC. The NPI Number for Randall S Tennis is 1174588792 and holds a License No. 5435 (Illinois).

The current practice location address for Randall S Tennis is 3248 Vandever Ave, Pekin, IL and can be reached out via phone at 309-347-5522 and via fax at 309-347-4264.

Location: 3248 Vandever Ave, Pekin, IL, 61554
person
Provider Profile Details
NPI Number
1174588792
Provider Name
Randall S Tennis
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
3248 Vandever Ave, Pekin, IL, 61554
Phone Number
309-347-5522
Fax Number
309-347-4264
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3248 Vandever Ave
City
State
Zip
61554
Phone Number
309-347-5522
Fax Number
309-347-4264
person
Provider Business Mailing Address Details
Address
3248 Vandever Ave
City
State
Zip
61554
Phone Number
309-347-5522
Fax Number
309-347-4264
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5435 (Illinois)
Definition
Definition to come...
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