Individual
JOHN LESLIE FRESHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
616 IAA DR, BLOOMINGTON, IL 61701-2225
(309) 261-6129
(309) 808-0617
Mailing address
616 IAA DR, BLOOMINGTON, IL 61701-2225
(309) 261-6129
(309) 808-0617
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009588
IL
Other
Enumeration date
07/08/2015
Last updated
01/12/2026
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