Unknown Individual – Professional Counselor, NPI 1659339034
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
7617, North Villa Wood Lane, Peoria, Peoria County, Illinois, 61614, United States
PEORIA, IL 61614
Phone: (309) 693-8200
Fax: (309) 693-8207
Type: Mailing
Villa Wood Lane, Peoria, Peoria County, Illinois, 61614, United States
PEORIA, IL 61614
Phone: (309) 693-8200
Fax: (309) 693-8207
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61614)
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