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1164269759
VICTOR NEVAREZ
KANKAKEE, IL
NPI
1164269759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL A-4120-0001-A)
Enumeration Date
2024-07-10
Last Update Date
2024-08-07
Business Address
Mr. VICTOR NEVAREZ CADC
256 S WASHINGTON AVE
KANKAKEE, IL 60901-3729
Phone number: 815-386-1308
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Mailing Address
Mr. VICTOR NEVAREZ CADC
256 S WASHINGTON AVE
KANKAKEE, IL 60901-3729
Phone number: 815-386-1308
Copy
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