JASON LEE FECHTER

PEORIA, IL
NPI1831605898
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.018830)
Enumeration Date2017-12-28
Last Update Date2017-12-28
Business Address
JASON LEE FECHTER LCSW
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615-9323
Phone number: 217-304-1803
Mailing Address
JASON LEE FECHTER LCSW
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615-9323
Phone number: 217-304-1803