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

NATHANIEL OLDENBURG, LCPC

Active

NATHANIEL OLDENBURG, LCPC is a Professional Counselor healthcare provider located in PEORIA, Illinois. NPI 1790431880 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · PEORIA, IL

Registration Details

NPI Number
1790431880
Provider Type
Individual
Gender
Male
NPI Issued
Feb 27, 2022 (4.44403216173 yrs)
Last Updated
Feb 27, 2022
License
180012347 (IL)

Practice Information

Address
7210 N VILLA LAKE DR STE C
PEORIA, IL, 616148290
Browse IL providers · Browse ZIP 61614
Phone
3097131485
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in PEORIA, IL

Name Credential NPI
MS. BARBARA A. PETERS LCPC 1609856921
PAMELA RUTH SHUCK-HOEHNE LCPC 1760454896
MS. JESSICA T LE MS 1447212089
MRS. DEBORAH J. MCKENNA LCPC 1700849619
MS. PAMELA TAYLOR SUTTON LCPC 1568427961
MS. DEBORAH P. DORNAUS M. A.,LCPC 1538102330
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.