JOSH MARK HIRST CADC
NPI 1164930772
Counselor - Addiction (Substance Use Disorder) in Rock Island, IL
Active since January 17, 2018
About Josh Mark Hirst Cadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSH MARK HIRST CADC (NPI 1164930772) is an individual addiction (substance use disorder) provider in Rock Island, Illinois, licensed in Illinois (33715) and active in the NPI registry since January 2018.
NPPES Registry Identity
NPI1164930772
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOSH MARK HIRSTCredential: CADC
Location Address4230 11TH STRock Island, IL 61201-6746
Mailing Address4230 11th StRock Island, IL 61201-6746 · (309) 788-4571 · Fax (309) 788-7132
Phone(309) 788-4571
Fax(309) 788-7132
Sole ProprietorNo
Enumeration DateJanuary 17, 2018
✔ NPI 1164930772 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IL · 33715
4230 11TH ST, Rock Island, IL 61201
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
4230 11TH ST
ROCK ISLAND, IL 61201
ROCK ISLAND, IL 61201
Clinic/Center (Mental Health (Including Community Mental Health Center))
4230 11TH ST
ROCK ISLAND, IL 61201
ROCK ISLAND, IL 61201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164930772, enumerated as an "individual" on January 17, 2018.
The provider is located at 4230 11TH ST ROCK ISLAND, IL 61201 and the phone number is (309) 788-4571.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).