Individual
JOSH MARK HIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
4230 11TH ST, ROCK ISLAND, IL 61201-6746
(309) 788-4571
(309) 788-7132
Mailing address
4230 11TH ST, ROCK ISLAND, IL 61201-6746
(309) 788-4571
(309) 788-7132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33715
IL
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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