person
John Leslie Freshour, LCPC
Professional Counselor in Bloomington, Illinois
NPI 1902289994

John Leslie Freshour is a Professional Counselor based in Bloomington, IL and is specialized in Professional. John Leslie Freshour practices in Bloomington, IL and has the professional credentials of LCPC. The NPI Number for John Leslie Freshour is 1902289994 and holds a License No. 180.009588 (Illinois).

The current practice location address for John Leslie Freshour is 616 Iaa Dr, Bloomington, IL and can be reached out via phone at 309-261-6129 and via fax at 309-808-0617. You can also correspond with John Leslie Freshour through the mailing address at 616 IAA DR, BLOOMINGTON, IL - 61701-2225 (mailing address contact number: 309-261-6129).

Location: 616 Iaa Dr, Bloomington, IL, 61701-2225
person
Provider Profile Details
NPI Number
1902289994
Provider Name
John Leslie Freshour
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
616 Iaa Dr, Bloomington, IL, 61701-2225
Phone Number
309-261-6129
Fax Number
309-808-0617
Provider Enumeration Date
07/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
616 Iaa Dr
City
State
Zip
61701-2225
Phone Number
309-261-6129
Fax Number
309-808-0617
person
Provider Business Mailing Address Details
Address
616 Iaa Dr
City
State
Zip
61701-2225
Phone Number
309-261-6129
Fax Number
309-808-0617
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.009588 (Illinois)
Definition
Definition to come...
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