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Jason Woodford
Professional Counselor in Bloomington, Illinois
NPI 1740669761

Jason Woodford is a Professional Counselor based in Mount Pulaski, IL and is specialized in Professional. Jason Woodford practices in Bloomington, IL. The NPI Number for Jason Woodford is 1740669761 and holds a License No. (Illinois).

The current practice location address for Jason Woodford is 2103 E Washington St Ste 3E, Bloomington, IL and can be reached out via phone at 815-421-3175. You can also correspond with Jason Woodford through the mailing address at 320 S MARION ST, MOUNT PULASKI, IL - 62548-1322 (mailing address contact number: 815-421-3175).

Location: 2103 E Washington St Ste 3E, Bloomington, IL, 62548-1322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740669761
Provider Name
Jason Woodford
Credential
Provider Entity Type
Individual
Gender
Male
Address
2103 E Washington St Ste 3E, Bloomington, IL, 62548-1322
Phone Number
815-421-3175
Fax Number
Provider Enumeration Date
05/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2103 E Washington St Ste 3E
City
Bloomington
State
Illinois
Zip
61701-4365
Phone Number
815-421-3175
Fax Number
person
Provider Business Mailing Address Details
Address
2103 E Washington St Ste 3E
City
Bloomington
State
Illinois
Zip
61701-4365
Phone Number
815-421-3175
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
180.011531 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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