Individual
JAKE CARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4481 ASH GROVE DR STE B, SPRINGFIELD, IL 62711-6359
(847) 809-2669
Mailing address
728 W WOODLAND AVE, SPRINGFIELD, IL 62704-2837
(847) 809-2669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
NCC2527016
IL
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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