Individual
KERRICK KILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
120 N VERMILION ST, DANVILLE, IL 61832-4709
(217) 274-7336
Mailing address
120 N VERMILION ST, DANVILLE, IL 61832-4709
(217) 274-7336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30837
IL
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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