Stretch, Robert Warren

Stretch, Robert Warren is an individual health care provider with primary practice located at 5016 N University St Suite # 103, Peoria IL 61614-4781. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Stretch, Robert Warren can be contacted via phone (309) 693-3711.

Contact Information

Primary practice address
5016 N University St Suite # 103 Peoria IL 61614-4781
Phone: (309) 693-3711
Fax: (309) 692-7779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1659495802
LBN Legal business name Stretch, Robert Warren
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
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.

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