Individual
DAVID VONDOEHREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2007 INDEPENDENCE DR, PEKIN, IL 61554-1928
(309) 555-5555
Mailing address
2007 INDEPENDENCE DR, PEKIN, IL 61554-1928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
03/13/2014
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