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Individual
JONATHAN COLLEDGE
Active
Individual
JONATHAN COLLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.014206
IL
101YP2500X
Professional Counselor
Primary
180.015159
IL
Other
Enumeration date
03/14/2021
Last updated
05/28/2026
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