Organization
JON DODDS PHD LCPC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON EDWARD DODDS PHD, LCPC (OWNER)
(815) 935-5053
Entity
Organization
Contact information
Practice address
750 ALMAR PKWY, SUITE 202, BOURBONNAIS, IL 60914-2315
(815) 935-5053
(815) 614-3617
Mailing address
750 ALMAR PKWY, SUITE 202, BOURBONNAIS, IL 60914-2315
(815) 935-5053
(815) 614-3617
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180005114
IL
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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