Individual provider · Type 1 NPI

Jacob Ryan Pritchard, LCPC

Mental Health Counselor · Peoria, IL

NPI number 1609268747 Active

Practice location

3400 W New Leaf Ln
Peoria, IL 61615-3311

Mailing address

2802 N Woodbine Ter
Peoria, IL 61604-2126

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180009401 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1609268747

Jacob Ryan Pritchard, LCPC's National Provider Identifier is 1609268747, issued on Feb 26, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Peoria, IL. The record was last updated on Feb 15, 2020.