DANIEL THOMAS FOUTCH

CHAMPAIGN, IL
NPI1669149134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209023867)
Enumeration Date2021-08-24
Last Update Date2025-03-21
Business Address
Mr. DANIEL THOMAS FOUTCH APRN, PMHNP-BC
328 N NEIL ST STE C
CHAMPAIGN, IL 61820-3614
Phone number: 217-377-0299
Mailing Address
Mr. DANIEL THOMAS FOUTCH APRN, PMHNP-BC
328 N NEIL ST STE C
CHAMPAIGN, IL 61820-3614
Phone number: 217-377-0299