Desatnick, Andrea
Desatnick, Andrea is an individual health care provider with primary practice located at 3000 W Rohmann Ave , West Peoria IL 61604-4842. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Desatnick, Andrea can be contacted via phone (309) 671-0300.Contact Information
Primary practice address
3000 W Rohmann Ave
West Peoria IL 61604-4842
Phone: (309) 671-0300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.014170 | Illinois |
Profile Details
| NPI number | 1295441061 |
|---|---|
| LBN Legal business name | Desatnick, Andrea |
| Credentials | MA, NCC, LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2023 |
| Last updated | Jan 25th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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