Individual provider · Type 1 NPI

Jon M. Bormann, LCPC

Professional Counselor · Springfield, IL

NPI number 1144856022 Active

Practice location

710 N 8th St
Springfield, IL 62702-6324

Call (217) 525-1064 Map

Fax (217) 525-1651

Mailing address

PO Box 3428
Springfield, IL 62708-3428

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.01227 (IL)

Professional Counselor: Definition to come...

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About NPI 1144856022

Jon M. Bormann, LCPC's National Provider Identifier is 1144856022, issued on Mar 23, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on Mar 23, 2020.