Individual provider · Type 1 NPI

Brooke Poling, LCPC

Professional Counselor · Peoria, IL

NPI number 1396337648 Active

Practice location

5901 N Prospect Rd Ste 202
Peoria, IL 61614-4358

Mailing address

6316 N Allen Rd Unit 25
Peoria, IL 61614-3274

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X178.016152 (IL)
Professional Counselor Primary 101YP2500X180.015044 (IL)

Professional Counselor: Definition to come...

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About NPI 1396337648

Brooke Poling, LCPC's National Provider Identifier is 1396337648, issued on Feb 8, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Mar 2, 2023.