Individual
MR. DAVID CHARLES IDERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHS, CADC, LCPC
Contact information
Practice address
1532 WEATHERSTONE LN, ELGIN, IL 60123-2019
(847) 668-8969
(847) 488-1401
Mailing address
1545 EASY ST, ELGIN, IL 60123-5128
(847) 668-8969
(847) 488-1401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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