| Jon Dodds Phd Lcpc Ltd | |
|
750 Almar Pkwy Suite 202 Bourbonnais IL 60914-2315 | |
| (815) 935-5053 | |
| (815) 614-3617 |
| Full Name | Jon Dodds Phd Lcpc Ltd |
|---|---|
| Speciality | Counselor |
| Location | 750 Almar Pkwy, Bourbonnais, Illinois |
| Authorized Official Name and Position | Jon Edward Dodds (OWNER) |
| Authorized Official Contact | 8159355053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Dodds Phd Lcpc Ltd 750 Almar Pkwy Suite 202 Bourbonnais IL 60914-2315 Ph: (815) 935-5053 | Jon Dodds Phd Lcpc Ltd 750 Almar Pkwy Suite 202 Bourbonnais IL 60914-2315 Ph: (815) 935-5053 |
| NPI Number | 1912378944 |
|---|---|
| Provider Enumeration Date | 10/16/2015 |
| Last Update Date | 10/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912378944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 180005114 (Illinois) | Primary |
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