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1114706793
JASON PLICHTA
MARION, IL
NPI
1114706793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
Mr. JASON PLICHTA
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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Mailing Address
Mr. JASON PLICHTA
1 CONCORDIA DR
CARBONDALE, IL 62902-8025
Phone number: 847-902-7933
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