Individual
JAY NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 17TH ST, RYC ACCESS DEPARTMENT, ROCK ISLAND, IL 61201-5351
(309) 779-3001
(309) 779-2078
Mailing address
2701 17TH ST., RYC ACCESS DEPARTMENT, ROCK ISLAND, IL 61201
(309) 779-3001
(309) 779-2078
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005041
IL
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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