John Walsh, LCPC,CADC

NPI 1841536794 · on the registry since 2012 · sole proprietor

Practice

Address: 2052 3rd Ave
Rock Island, IL 61201
Phone: (309) 794-1097
Fax: (309) 794-1208
Organisation at this address: Alcohol & Drug Education Clinic, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YA0400X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois