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Jon M Bormann, LCPC
Professional Counselor in Springfield, Illinois
NPI 1144856022

Jon M Bormann is a Professional Counselor based in Springfield, IL and is specialized in Professional. Jon M Bormann practices in Springfield, IL and has the professional credentials of LCPC. The NPI Number for Jon M Bormann is 1144856022 and holds a License No. 180.01227 (Illinois).

The current practice location address for Jon M Bormann is 710 N 8Th St, Springfield, IL and can be reached out via phone at 217-525-1064 and via fax at 217-525-1651.

Location: 710 N 8Th St, Springfield, IL, 62708-3428
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Provider Profile Details
NPI Number
1144856022
Provider Name
Jon M Bormann
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
710 N 8Th St, Springfield, IL, 62708-3428
Phone Number
217-525-1064
Fax Number
217-525-1651
Provider Enumeration Date
03/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180012287 01 IL LCPC LIC
institution
Provider Business Practice Location Address Details
Address
710 N 8Th St
City
State
Zip
62702-6324
Phone Number
217-525-1064
Fax Number
217-525-1651
person
Provider Business Mailing Address Details
Address
710 N 8Th St
City
State
Zip
62702-6324
Phone Number
217-525-1064
Fax Number
217-525-1651
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.01227 (Illinois)
Definition
Definition to come...
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