Individual provider · Type 1 NPI

Jason Woodford, LCPC

Professional Counselor · Peoria, IL

NPI number 1740669761 Active

Practice location

6615 N Big Hollow Rd
Peoria, IL 61615-2450

Fax (309) 692-6952

Mailing address

320 S Marion St
Mount Pulaski, IL 62548-1322

Other practice locations

  • 1709 Jumer Dr Ste A, Bloomington, IL 61704-0914 · (309) 826-8178

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.011531 (IL)

Professional Counselor: Definition to come...

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About NPI 1740669761

Jason Woodford, LCPC's National Provider Identifier is 1740669761, issued on May 22, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Dec 9, 2024.