person
Jason Woodford, LCPC
Professional Counselor in Peoria, Illinois
NPI 1740669761

Jason Woodford is a Professional Counselor based in Mount Pulaski, IL and is specialized in Professional. Jason Woodford practices in Peoria, IL and has the professional credentials of LCPC. The NPI Number for Jason Woodford is 1740669761 and holds a License No. 180.011531 (Illinois).

The current practice location address for Jason Woodford is 6615 N Big Hollow Rd, Peoria, IL and can be reached out via phone at 309-692-6952 and via fax at 309-692-6952.

Location: 6615 N Big Hollow Rd, Peoria, IL, 62548-1322
person
Provider Profile Details
NPI Number
1740669761
Provider Name
Jason Woodford
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
6615 N Big Hollow Rd, Peoria, IL, 62548-1322
Phone Number
309-692-6952
Fax Number
309-692-6952
Provider Enumeration Date
05/22/2015
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
6615 N Big Hollow Rd
City
State
Zip
61615-2450
Phone Number
309-692-6952
Fax Number
309-692-6952
person
Provider Business Mailing Address Details
Address
6615 N Big Hollow Rd
City
State
Zip
61615-2450
Phone Number
309-692-6952
Fax Number
309-692-6952
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.011531 (Illinois)
Definition
Definition to come...
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