Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nathan Lee Caron, MHP

Individual provider Rehabilitation Practitioner · NPI 1407525702

Nathan Lee Caron, MHP is a Rehabilitation Practitioner in Waterloo, Illinois. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

988 N Illinois Route 3
Waterloo, IL 62298-1059
Phone: (618) 939-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1407525702
Entity typeIndividual (Type 1)
GenderMale
Credentials MHP
Sole proprietorYes
NPI enumeratedSeptember 9, 2021
Last updated in NPPESDecember 27, 2022
Certification dateDecember 27, 2022

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