Anthony Allen Poole SR. MPA, MAC, CCJS

NPI 1487984944 - Counselor - 101Y00000X

NPI Details
NPI 1487984944
Gender Male
Enumeration Date 01/06/2010
Last Updated 01/06/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
600 HOLIDAY INN PLAZA
SUITE 400, ILLINOIS MENTOR
MATTESON IL, 60443-2241, US
Phone (708) 679-9137
Fax (708) 679-6861
Business Location
600 HOLIDAY INN PLAZA
SUITE 400, ILLINOIS MENTOR
MATTESON IL, 60443-2241, US
Phone (708) 679-9137
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Mr. Anthony Allen Poole SR. MPA, MAC, CCJS NPI is 1487984944, taxonomy code is 101Y00000X Anthony Allen Poole SR. MPA, MAC, CCJS physically located at 600 Holiday Inn Plaza, Matteson IL, 60443-2241. NPI Number Anthony Allen Poole SR. MPA, MAC, CCJS has the Individual type.

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1487984944 NPI number is provided on an as is basis without warranty of any kind. 1487984944 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Allen Poole SR. MPA, MAC, CCJS are for informational purposes only.