Individual
JACOB DONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2396 W NEBRASKA AVE, PEORIA, IL 61604-3111
(309) 676-6305
Mailing address
2396 W NEBRASKA AVE, PEORIA, IL 61604-3111
(309) 676-6305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
08/17/2016
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