Individual provider · Type 1 NPI
Jonathan Connor Self
School Counselor · Dixon, IL
NPI number
1649069816
Active
Practice location
640 2nd Ave
Dixon, IL 61021-1914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor Primary | 101YS0200X | 899731 (IL) |
School Counselor: Definition to come...
About NPI 1649069816
Jonathan Connor Self's National Provider Identifier is 1649069816, issued on May 5, 2025. The primary taxonomy on file is School Counselor (101YS0200X), and the practice location is in Dixon, IL. The record was last updated on May 5, 2025.