Individual
DARRELL HITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4507 N STERLING AVE STE 210, PEORIA, IL 61615-3861
(309) 339-5835
Mailing address
4507 N STERLING AVE STE 210, PEORIA, IL 61615-3861
(309) 339-5835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13733
IL
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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