NATHANIEL BRANCH

DEKALB, IL
NPI1043920036
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-11-30
Last Update Date2022-11-30
Business Address
NATHANIEL BRANCH
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
Mailing Address
NATHANIEL BRANCH
PO BOX 1109
DEKALB, IL 60115-7109
Phone number: 815-756-4875
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