Chad Levi Higgins B.A.

NPI 1134316763 - Counselor - 101Y00000X

NPI Details
NPI 1134316763
Gender Male
Enumeration Date 09/27/2007
Last Updated 09/27/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3248 VANDEVER AVE
PEKIN IL, 61554-6257, US
Phone (309) 347-5579
Fax (309) 347-4264
Business Location
3248 VANDEVER AVE
PEKIN IL, 61554-6257, US
Phone (309) 347-5579
Fax (309) 347-4264
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Chad Levi Higgins B.A. NPI is 1134316763, taxonomy code is 101Y00000X Chad Levi Higgins B.A. physically located at 3248 Vandever Ave, Pekin IL, 61554-6257. NPI Number Chad Levi Higgins B.A. has the Individual type.

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1134316763 NPI number is provided on an as is basis without warranty of any kind. 1134316763 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Levi Higgins B.A. are for informational purposes only.