NPI 1245863612
Daniel Valleroy, QMHP
Practice location
- Address
- 988 N Illinois Route 3, Waterloo, IL 62298-1059
- Phone
- (618) 939-4444
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1245863612
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Feb 2020
- Record last updated
- 13 Feb 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.