Individual provider · Type 1 NPI

Jayshree Panchal, MA, LCPC, NCC

Professional Counselor · Peoria, IL

NPI number 1639594971 Active

Practice location

7210 N Villa Lake Dr Ste C
Peoria, IL 61614-8290

Call (309) 713-1485 Map

Fax (309) 419-4328

Other practice locations

  • 3248 Vandever Ave, Pekin, IL 61554-6257 · (309) 347-5579

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.010474 (IL)

Professional Counselor: Definition to come...

10 other providers at this address

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About NPI 1639594971

Jayshree Panchal, MA, LCPC, NCC's National Provider Identifier is 1639594971, issued on Feb 24, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Sep 18, 2020.