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Organization
JON DODDS PHD LCPC LTD
Active
Organization
JON DODDS PHD LCPC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON EDWARD DODDS PHD, LCPC (OWNER)
(815) 935-5053
Entity
Organization
Contact information
Practice address
750 ALMAR PKWY, SUITE 202, BOURBONNAIS, IL 60914-2315
(815) 935-5053
(815) 614-3617
Mailing address
750 ALMAR PKWY, SUITE 202, BOURBONNAIS, IL 60914-2315
(815) 935-5053
(815) 614-3617
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180005114
IL
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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