person
Mr. David Judy, LCPC
Addiction (Substance Use Disorder) Counselor in Olney, Illinois
NPI 1679761399

David Judy is an Addiction (Substance Use Disorder) Counselor based in Olney, IL and is specialized in Addiction (Substance Use Disorder). David Judy practices in Olney, IL and has the professional credentials of LCPC. The NPI Number for David Judy is 1679761399 and holds a License No. 180004995 (Illinois).

The current practice location address for David Judy is 504 Micah Drive, Olney, IL and can be reached out via phone at 618-395-4306 and via fax at 618-395-4507.

Location: 504 Micah Drive, Olney, IL, 62450-0913
person
Provider Profile Details
NPI Number
1679761399
Provider Name
David Judy
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
504 Micah Drive, Olney, IL, 62450-0913
Phone Number
618-395-4306
Fax Number
618-395-4507
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180004995 01 IL LCPC
institution
Provider Business Practice Location Address Details
Address
504 Micah Drive
City
State
Zip
62450-0913
Phone Number
618-395-4306
Fax Number
618-395-4507
person
Provider Business Mailing Address Details
Address
504 Micah Drive
City
State
Zip
62450-0913
Phone Number
618-395-4306
Fax Number
618-395-4507
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180004995 (Illinois)
Definition
Definition to come...
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