Nathan Lee Caron, MHP
Individual provider Active NPI Professional Counselor · Waterloo, IL
NPI 1407525702 · NPPES record last updated Dec 27, 2022
Key facts
- NPI
- 1407525702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 988 N Illinois Route 3
Waterloo, IL 62298-1059 - Phone
- (618) 939-4444
- NPI assigned
- Sep 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
988 N Illinois Route 3
Waterloo, IL 62298-1059
Mailing address
988 N Illinois Route 3
Waterloo, IL 62298-1059
Phone (618) 939-4444
Other providers in Waterloo, IL
- Claire Burmester
- Lauren Cage
- Canterbury Manor Nursing Center
- Canterbury Manor Nursing Center Inc
- Ashton Reese Carmichael
- Shani Cary
- Lea Chandrl
- Kimberly Chism
- Kasey Christ
- Christian Social Services of Illinois
All providers in Waterloo, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.