Individual
BROOKE POLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5901 N PROSPECT RD STE 202, PEORIA, IL 61614-4358
(888) 428-7890
Mailing address
6316 N ALLEN RD UNIT 25, PEORIA, IL 61614-3274
(309) 339-4459
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178.016152
IL
101YP2500X
Professional Counselor
Primary
180.015044
IL
Other
Enumeration date
02/08/2021
Last updated
03/02/2023
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