Doctor Name: | CHRISTOPHER CASHEN |
NPI Number: | 1013037621 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.P.C. |
License Number: | 180001134 |
Business Practice Address: | 405 Kays Dr Ste C Normal, IL - 617611979 |
Business Phone Number: | 3096643130 |
Business Fax Number: | 3096643528 |
Mailing Address: | 405 Kays Dr Ste C, NORMAL |
State: | IL |
Postal Code: | 617611979 |
Phone Number: | 3096643130 |
Fax Number: | 3096643528 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 05/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180001134 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |