Individual provider · Type 1 NPI
John C. Sample, LCPC
Professional Counselor · Cordova, IL
NPI number
1437374824
Active
Practice location
23616 157th Ave N
Cordova, IL 61242-9771
Fax (309) 654-2885
Mailing address
17204 River Rd N
Cordova, IL 61242-9735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1437374824
John C. Sample, LCPC's National Provider Identifier is 1437374824, issued on Apr 13, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cordova, IL. The record was last updated on Jul 8, 2007.