JOHN LESLIE FRESHOUR

BLOOMINGTON, IL
NPI1902289994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180.009588)
Enumeration Date2015-07-08
Last Update Date2020-01-02
Business Address
JOHN LESLIE FRESHOUR LCPC
616 IAA DR
BLOOMINGTON, IL 61701-2225
Phone number: 309-261-6129
Mailing Address
JOHN LESLIE FRESHOUR LCPC
616 IAA DR
BLOOMINGTON, IL 61701-2225
Phone number: 309-261-6129
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