Individual provider · Type 1 NPI

David Mingus, LCPC

Professional Counselor · Pekin, IL

NPI number 1629320676 Active

Practice location

3248 Vandever Ave
Pekin, IL 61554-6257

Fax (309) 347-4264

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180003321 (IL)

Professional Counselor: Definition to come...

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About NPI 1629320676

David Mingus, LCPC's National Provider Identifier is 1629320676, issued on Oct 15, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pekin, IL. The record was last updated on Oct 15, 2012.