JASON DEFORD

PEORIA, IL
NPI1083169965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180010119)
Enumeration Date2016-08-19
Last Update Date2016-08-19
Business Address
-- JASON DEFORD LCPC
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614-8127
Phone number: 309-681-5652
Mailing Address
-- JASON DEFORD LCPC
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614-8127
Phone number: 309-681-5652
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