Individual provider · Type 1 NPI

Jo Sack, LCPC

Professional Counselor · Peoria, IL

NPI number 1891702155 Active

Practice location

6615 N Big Hollow Rd
Peoria, IL 61615-2450

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180004604 (IL)

Professional Counselor: Definition to come...

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About NPI 1891702155

Jo Sack, LCPC's National Provider Identifier is 1891702155, issued on Aug 1, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Nov 16, 2012.