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Organization
MINDOCK COUNSELING AND CONSULTING
Active
Organization
MINDOCK COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON FUNDELL MINDOCK LCPC (DIRECTOR)
(309) 696-4697
Entity
Organization
Contact information
Practice address
3100 N DRIES LN, SUITE 302, PEORIA, IL 61604-1259
(309) 696-4697
(309) 681-0381
Mailing address
3100 N DRIES LN, SUITE 302, PEORIA, IL 61604-1259
(309) 696-4697
(309) 681-0381
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004578
IL
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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