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Individual

MR. JACOB RYUN IRONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
3248 VANDEVER AVE, PEKIN, IL 61554-6274
(309) 347-5522
Mailing address
3248 VANDEVER AVE, PEKIN, IL 61554-6274
(309) 347-5522

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178016571
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101YP2500X
TAXONOMY
IL
Enumeration date
02/15/2021
Last updated
02/15/2021
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