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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Mental Health Counselor · EAST PEORIA, IL

Registration Details

NPI Number
1093531006
Provider Type
Individual
Gender
Female
NPI Issued
Nov 25, 2024 (1.4443554567679 yrs)
Last Updated
Nov 25, 2024

Practice Information

Address
111 W WASHINGTON ST STE 4
EAST PEORIA, IL, 616112532
Browse IL providers · Browse ZIP 61611
Phone
3096892990
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in EAST PEORIA, IL

Name Credential NPI
LILLIAN MERCHANT-SULLIVAN PHD LCPC 1629033279
KEVIN J SCHROCK O. T. 1255482543
RYAN KELLOG 1114556719
DANIELLE MCCOY LCPC 1174141220
ELENA JENKINS 1013620723
KYLE PEARSON LCPC, NCC, CADC 1679268916
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.