Individual
EVAN ATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-6611
Mailing address
325 IL ROUTE 2, DIXON, IL 61021-9118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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