Individual provider · Type 1 NPI
Amy Lynn Hancock, BA, CADC, GCE
Addiction (Substance Use Disorder) Counselor · Pekin, IL
NPI number
1144523960
Active
Practice location
3248 Vandever Ave
Pekin, IL 61554-6257
Fax (309) 347-4264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 25397 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1144523960
Amy Lynn Hancock, BA, CADC, GCE's National Provider Identifier is 1144523960, issued on Dec 16, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pekin, IL. The record was last updated on Dec 16, 2010.