Individual
DAVID MINGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
3248 VANDEVER AVE, PEKIN, IL 61554-6257
(309) 347-5579
(309) 347-4264
Mailing address
3248 VANDEVER AVE, PEKIN, IL 61554-6257
(309) 347-5579
(309) 347-4264
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180003321
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180003321
LCPC
IL
Enumeration date
10/15/2012
Last updated
10/15/2012
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