person
Jacob Ryan Pritchard, LCPC
Mental Health Counselor in Peoria, Illinois
NPI 1609268747

Jacob Ryan Pritchard is a Mental Health Counselor based in Peoria, IL and is specialized in Mental Health. Jacob Ryan Pritchard practices in Peoria, IL and has the professional credentials of LCPC. The NPI Number for Jacob Ryan Pritchard is 1609268747 and holds a License No. 180009401 (Illinois).

The current practice location address for Jacob Ryan Pritchard is 3400 W New Leaf Ln, Peoria, IL and can be reached out via phone at 309-671-8000.

Location: 3400 W New Leaf Ln, Peoria, IL, 61604-2126
person
Provider Profile Details
NPI Number
1609268747
Provider Name
Jacob Ryan Pritchard
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
3400 W New Leaf Ln, Peoria, IL, 61604-2126
Phone Number
309-671-8000
Fax Number
Provider Enumeration Date
02/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180009401 01 IL ILLINOIS
institution
Provider Business Practice Location Address Details
Address
3400 W New Leaf Ln
City
State
Zip
61615-3311
Phone Number
309-671-8000
Fax Number
person
Provider Business Mailing Address Details
Address
3400 W New Leaf Ln
City
State
Zip
61615-3311
Phone Number
309-671-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180009401 (Illinois)
Definition
Definition to come...
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