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1609268747
JACOB RYAN PRITCHARD
PEORIA, IL
NPI
1609268747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180009401)
Enumeration Date
2015-02-26
Last Update Date
2020-02-15
Business Address
JACOB RYAN PRITCHARD LCPC
3400 W NEW LEAF LN
PEORIA, IL 61615-3311
Phone number: 309-671-8000
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Mailing Address
JACOB RYAN PRITCHARD LCPC
2802 N WOODBINE TER
PEORIA, IL 61604-2126
Phone number: 309-642-4775
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