Individual
DALE VINGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CADC
Contact information
Practice address
206 BURWASH AVE, SAVOY, IL 61874-9510
(217) 356-3400
Mailing address
206 BURWASH AVE, SAVOY, IL 61874-9510
(217) 356-3400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33572
IL
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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