JASON WOODFORD

PEORIA, IL
NPI1740669761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180.011531)
Enumeration Date2015-05-22
Last Update Date2024-08-07
Business Address
JASON WOODFORD LCPC
6615 N BIG HOLLOW RD
PEORIA, IL 61615-2450
Phone number: 309-692-6952
Mailing Address
JASON WOODFORD LCPC
320 S MARION ST
MOUNT PULASKI, IL 62548-1322
Phone number: 815-421-3175