Individual
JODY K LURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
215 EAST MARKET STREET, SUITE B, RED BUD, IL 62278
(618) 340-9578
(800) 707-1357
Mailing address
215 EAST MARKET STREET, SUITE B, RED BUD, IL 62278
(618) 340-9578
(800) 707-1357
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.008266
IL
Other
Enumeration date
05/20/2014
Last updated
08/31/2023
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