Individual
MR. DAVID J CREEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
6653 WEAVER RD, ROCKFORD, IL 61114-8025
(815) 200-9636
Mailing address
6653 WEAVER RD, ROCKFORD, IL 61114-8025
(815) 200-9636
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001308
IL
106H00000X
Marriage & Family Therapist
166001308
IL
106H00000X
Marriage & Family Therapist
3239
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360450100M
—
MN
Enumeration date
09/11/2012
Last updated
06/01/2020
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