Individual
MR. JASON PLICHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
1 CONCORDIA DR, CARBONDALE, IL 62902-8025
(847) 902-7933
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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