person
Katie Neidetcher, LCPC
Professional Counselor in Peoria, Illinois
NPI 1093376329

Katie Neidetcher is a Professional Counselor based in Peoria, IL and is specialized in Professional. Katie Neidetcher practices in Peoria, IL and has the professional credentials of LCPC. The NPI Number for Katie Neidetcher is 1093376329 and holds a License No. 180011916 (Illinois).

The current practice location address for Katie Neidetcher is 7210 N Villa Lake Dr Ste C, Peoria, IL and can be reached out via phone at 309-713-1485 and via fax at 309-419-4328.

Location: 7210 N Villa Lake Dr Ste C, Peoria, IL, 61612-0286
person
Provider Profile Details
NPI Number
1093376329
Provider Name
Katie Neidetcher
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
7210 N Villa Lake Dr Ste C, Peoria, IL, 61612-0286
Phone Number
309-713-1485
Fax Number
309-419-4328
Provider Enumeration Date
06/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7210 N Villa Lake Dr Ste C
City
State
Zip
61614-8290
Phone Number
309-713-1485
Fax Number
309-419-4328
person
Provider Business Mailing Address Details
Address
7210 N Villa Lake Dr Ste C
City
State
Zip
61614-8290
Phone Number
309-713-1485
Fax Number
309-419-4328
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180011916 (Illinois)
Definition
Definition to come...
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