Individual
MR. VICTOR NEVAREZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
256 S WASHINGTON AVE, KANKAKEE, IL 60901-3729
(815) 386-1308
(815) 348-6883
Mailing address
256 S WASHINGTON AVE, KANKAKEE, IL 60901-3729
(815) 386-1308
(815) 348-6883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-4120-0001-A
IL
Other
Enumeration date
07/10/2024
Last updated
08/07/2024
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