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John Robert Prain, CADC
Addiction (Substance Use Disorder) Counselor in Macomb, Illinois
NPI 1396867420

John Robert Prain is an Addiction (Substance Use Disorder) Counselor based in Avon, IL and is specialized in Addiction (Substance Use Disorder). John Robert Prain practices in Macomb, IL and has the professional credentials of CADC. The NPI Number for John Robert Prain is 1396867420 and holds a License No. 22822 (Illinois).

The current practice location address for John Robert Prain is 900 S Deer Rd, Macomb, IL and can be reached out via phone at 309-837-4876 and via fax at 309-833-1531.

Location: 900 S Deer Rd, Macomb, IL, 61415-0566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396867420
Provider Name
John Robert Prain
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
900 S Deer Rd, Macomb, IL, 61415-0566
Phone Number
309-837-4876
Fax Number
309-833-1531
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22822 01 IL CADC
370984175 01 IL FEIN BWAY, INC
institution
Provider Business Practice Location Address Details
Address
900 S Deer Rd
City
Macomb
State
Illinois
Zip
61455-2639
Phone Number
309-837-4876
Fax Number
309-833-1531
person
Provider Business Mailing Address Details
Address
900 S Deer Rd
City
Macomb
State
Illinois
Zip
61455-2639
Phone Number
309-837-4876
Fax Number
309-833-1531
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
22822 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
22822 (Illinois)
Definition
Definition to come...
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