person
David Mingus, LCPC
Professional Counselor in Pekin, Illinois
NPI 1629320676

David Mingus is a Professional Counselor based in Pekin, IL and is specialized in Professional. David Mingus practices in Pekin, IL and has the professional credentials of LCPC. The NPI Number for David Mingus is 1629320676 and holds a License No. 180003321 (Illinois).

The current practice location address for David Mingus is 3248 Vandever Ave, Pekin, IL and can be reached out via phone at 309-347-5579 and via fax at 309-347-4264. You can also correspond with David Mingus through the mailing address at 3248 VANDEVER AVE, PEKIN, IL - 61554-6257 (mailing address contact number: 309-347-5579).

Location: 3248 Vandever Ave, Pekin, IL, 61554-6257
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Provider Profile Details
NPI Number
1629320676
Provider Name
David Mingus
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
3248 Vandever Ave, Pekin, IL, 61554-6257
Phone Number
309-347-5579
Fax Number
309-347-4264
Provider Enumeration Date
10/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180003321 01 IL LCPC
institution
Provider Business Practice Location Address Details
Address
3248 Vandever Ave
City
State
Zip
61554-6257
Phone Number
309-347-5579
Fax Number
309-347-4264
person
Provider Business Mailing Address Details
Address
3248 Vandever Ave
City
State
Zip
61554-6257
Phone Number
309-347-5579
Fax Number
309-347-4264
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180003321 (Illinois)
Definition
Definition to come...
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