person
Mr. John C Sample, LCPC
Professional Counselor in Cordova, Illinois
NPI 1437374824

John C Sample is a Professional Counselor based in Cordova, IL and is specialized in Professional. John C Sample practices in Cordova, IL and has the professional credentials of LCPC. The NPI Number for John C Sample is 1437374824 and holds a License No. (Illinois).

The current practice location address for John C Sample is 23616 157Th Ave N, Cordova, IL and can be reached out via phone at 309-654-2402 and via fax at 309-654-2885.

Location: 23616 157Th Ave N, Cordova, IL, 61242-9735
person
Provider Profile Details
NPI Number
1437374824
Provider Name
John C Sample
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
23616 157Th Ave N, Cordova, IL, 61242-9735
Phone Number
309-654-2402
Fax Number
309-654-2885
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23616 157Th Ave N
City
State
Zip
61242-9771
Phone Number
309-654-2402
Fax Number
309-654-2885
person
Provider Business Mailing Address Details
Address
23616 157Th Ave N
City
State
Zip
61242-9771
Phone Number
309-654-2402
Fax Number
309-654-2885
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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