Individual
FRED ACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
731 SABRINA DR, EAST PEORIA, IL 61611-3581
(309) 699-9700
Mailing address
1018 N PARKSIDE DR, PEORIA, IL 61606-1040
(815) 651-5910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31416
IL
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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