Harris, Dean
Harris, Dean is an individual health care provider with primary practice located at 3248 Vandever , Pekin IL 61554. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Harris, Dean can be contacted via phone (309) 347-5522.Contact Information
Primary practice address
3248 Vandever
Pekin IL 61554
Phone: (309) 347-5522
Fax: (309) 347-7302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1346205259 |
|---|---|
| LBN Legal business name | Harris, Dean |
| Credentials | BA CADC MISAI MHP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346205259 | NPPES |
| Illinois | Other | 16757 | CADC IAOCAPCA |
| Illinois | Other | 16757 | CADC IAOCAPCA |
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