David Hendricks MA, LCPC

NPI 1154630846 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1154630846
Gender Male
Enumeration Date 09/29/2010
Last Updated 02/19/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
460 N MAIN ST
GLEN ELLYN IL, 60137-5176, US
Phone (630) 279-4359
Fax
Business Location
460 N MAIN ST
GLEN ELLYN IL, 60137-5176, US
Phone
Fax
Toxanomy
Taxonomy Code 103K00000X
License State Illinois
License Number 178.006903
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According to our database, David Hendricks MA, LCPC NPI is 1154630846, taxonomy code is 103K00000X and license number is 178.006903, license state is located at Illinois. David Hendricks MA, LCPC physically located at 460 N Main St, Glen Ellyn IL, 60137-5176. NPI Number David Hendricks MA, LCPC has the Individual type.

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1154630846 NPI number is provided on an as is basis without warranty of any kind. 1154630846 is maintained by the National Plan & Provider Enumeration System. The contents of David Hendricks MA, LCPC are for informational purposes only.