Individual
AUSTIN WADE HOWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
212 S HERSHEY RD, BLOOMINGTON, IL 61704-4524
(309) 270-2728
Mailing address
8420 N KNOXVILLE AVE, SUITE C #1099, PEORIA, IL 61615-4524
(309) 270-2728
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.109801
IL
1041C0700X
Clinical Social Worker
Primary
149.028221
IL
Other
Enumeration date
12/06/2022
Last updated
07/11/2025
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