person
Nathaniel Oldenburg, LCPC
Professional Counselor in Peoria, Illinois
NPI 1790431880

Nathaniel Oldenburg is a Professional Counselor based in Chillicothe, IL and is specialized in Professional. Nathaniel Oldenburg practices in Peoria, IL and has the professional credentials of LCPC. The NPI Number for Nathaniel Oldenburg is 1790431880 and holds a License No. 180012347 (Illinois).

The current practice location address for Nathaniel Oldenburg is 7210 N Villa Lake Dr Ste C, Peoria, IL and can be reached out via phone at 309-713-1485.

Location: 7210 N Villa Lake Dr Ste C, Peoria, IL, 61523-1932
person
Provider Profile Details
NPI Number
1790431880
Provider Name
Nathaniel Oldenburg
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
7210 N Villa Lake Dr Ste C, Peoria, IL, 61523-1932
Phone Number
309-713-1485
Fax Number
Provider Enumeration Date
02/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7210 N Villa Lake Dr Ste C
City
State
Zip
61614-8290
Phone Number
309-713-1485
Fax Number
person
Provider Business Mailing Address Details
Address
7210 N Villa Lake Dr Ste C
City
State
Zip
61614-8290
Phone Number
309-713-1485
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180012347 (Illinois)
Definition
Definition to come...
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