Individual
JACOB MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 N SWORDS AVE, WEST PEORIA, IL 61604-4853
(309) 232-6197
Mailing address
631 N SWORDS AVE, WEST PEORIA, IL 61604-4853
(309) 232-6197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
29047
MD
101YM0800X
Mental Health Counselor
LG200001446
DC
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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