Individual
MR. THOMAS ADAM DRYSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 BLACKTHORN DR, CHAMPAIGN, IL 61821-6368
(815) 343-3917
Mailing address
1900 BLACKTHORN DR, CHAMPAIGN, IL 61821-6368
(815) 343-3917
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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