Individual
DR. CHRISTOPHER VAN HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3716 W BRIGHTON AVE, PEORIA, IL 61615-2938
(309) 692-7755
Mailing address
3716 W BRIGHTON AVE, PEORIA, IL 61615-2938
(309) 692-7755
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245454313
GROUP NPI
—
Enumeration date
05/04/2022
Last updated
05/04/2022
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