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Individual

MRS. JAEL K. MAHASI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCC, LPC

Contact information

Practice address
1831 N KNOXVILLE AVE, PEORIA, IL 61603-3027
(309) 688-9282
Mailing address
1831 N KNOXVILLE AVE, PEORIA, IL 61603-3027
(309) 688-9282

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.009493
IL
101YP2500X
Professional Counselor
178.009493
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YM0800X
IL
Enumeration date
04/02/2014
Last updated
03/31/2026
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