Individual
JAY L CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
808 S ELDORADO RD STE 400, BLOOMINGTON, IL 61704-6068
(309) 585-0241
Mailing address
808 S ELDORADO RD STE 400, BLOOMINGTON, IL 61704-6068
(309) 585-0241
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.008398
IL
101YP2500X
Professional Counselor
Primary
180.012623
IL
Other
Enumeration date
09/08/2014
Last updated
01/14/2026
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