Individual
MR. DAVID W THIEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2960 CHARTRES ST, LA SALLE, IL 61301-1097
(815) 224-1610
(815) 223-1634
Mailing address
PO BOX 1488, 2960 CHARTRES STREET, LA SALLE, IL 61301-3488
(815) 224-1610
(815) 223-1634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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