Terrance W Nighswanger LCPC

NPI 1023368602 - Counselor - 101YM0800X

NPI Details
NPI 1023368602
Gender Male
Enumeration Date 09/11/2012
Last Updated 09/11/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2000 W PIONEER PKWY
SUITE 20
PEORIA IL, 61615-1835, US
Phone (309) 648-9939
Fax (306) 692-2052
Business Location
2000 W PIONEER PKWY
SUITE 20
PEORIA IL, 61615-1835, US
Phone (309) 648-9939
Fax (306) 692-2052
Toxanomy
Taxonomy Code 101YM0800X
License State Illinois
License Number 180001935
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According to our database, Mr. Terrance W Nighswanger LCPC NPI is 1023368602, taxonomy code is 101YM0800X and license number is 180001935, license state is located at Illinois. Terrance W Nighswanger LCPC physically located at 2000 W Pioneer Pkwy, Peoria IL, 61615-1835. NPI Number Terrance W Nighswanger LCPC has the Individual type.

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1023368602 NPI number is provided on an as is basis without warranty of any kind. 1023368602 is maintained by the National Plan & Provider Enumeration System. The contents of Terrance W Nighswanger LCPC are for informational purposes only.