Individual provider · Type 1 NPI

Jason Andrew Peckels, M.S.ED., L.P.C.

Professional Counselor · Rockford, IL

NPI number 1568635910 Active

Practice location

433 Phelps Ave, Suite #2
Rockford, IL 61108-2442

Call (815) 397-4287 Map

Mailing address

2506 Burrmont Rd
Rockford, IL 61107-1842

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180005895 (IL)
Professional Counselor 101YP2500X3938-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1568635910

Jason Andrew Peckels, M.S.ED., L.P.C.'s National Provider Identifier is 1568635910, issued on Apr 7, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Jul 16, 2014.