DR. FRED LEE NANCE PHD M.A. NPI 1932614831

NPI Information

NPI: 1932614831
Provider Name: DR. FRED LEE NANCE, PHD, M.A.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
17239 EVANS AVE
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 921-1395
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DR. Fred Lee Nance, PHD, M.A. is an addiction (substance use disorder) counselor in South Holland, IL. DR. Fred Lee Nance, PHD, M.A. NPI is 1932614831. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17239 EVANS AVE
SOUTH HOLLAND, IL
ZIP 60473-436
Phone: (708) 921-1395

The enumeration date for this NPI number is 12/13/2017 and was last updated on 12/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	22860	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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