Individual provider · Type 1 NPI

Katie Neidetcher, LCPC

Professional Counselor · Peoria, IL

NPI number 1093376329 Active

Practice location

7210 N Villa Lake Dr Ste C
Peoria, IL 61614-8290

Fax (309) 419-4328

Mailing address

PO Box 10286
Peoria, IL 61612-0286

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180011916 (IL)

Professional Counselor: Definition to come...

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About NPI 1093376329

Katie Neidetcher, LCPC's National Provider Identifier is 1093376329, issued on Jun 26, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Jun 26, 2019.