Doctor Name: | WILLIAM CONNIFF |
NPI Number: | 1316073984 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | 180004937 |
Business Practice Address: | 2407 Westfield Ln Belvidere, IL - 610087342 |
Business Phone Number: | 8152894212 |
Business Fax Number: | |
Mailing Address: | 2407 Westfield Ln, BELVIDERE |
State: | IL |
Postal Code: | 610087342 |
Phone Number: | 8152894212 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 12/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180004937 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |