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Methodist
Mental Health Counselor in Peoria, Illinois
NPI 1811512411

Methodist is a Mental Health Counselor based in Peoria, IL and is specialized in Mental Health. Methodist practices in Peoria, IL. The NPI Number for Methodist is 1811512411 and holds a License No. (Illinois).

The current practice location address for Methodist is 221 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-672-5604.

Location: 221 Ne Glen Oak Ave, Peoria, IL, 61636-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811512411
Provider Name
Methodist
Credential
Provider Entity Type
Organization
Address
221 Ne Glen Oak Ave, Peoria, IL, 61636-0001
Phone Number
309-672-5604
Fax Number
Provider Enumeration Date
06/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180007159 01 IL LCPC
institution
Provider Business Practice Location Address Details
Address
221 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61636-0001
Phone Number
309-672-5604
Fax Number
person
Provider Business Mailing Address Details
Address
221 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61636-0001
Phone Number
309-672-5604
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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