Individual provider · Type 1 NPI

Jake Carman

Professional Counselor · Springfield, IL

NPI number 1912849704 Active

Practice location

4481 Ash Grove Dr Ste B
Springfield, IL 62711-6359

Call (847) 809-2669 Map

Mailing address

728 W Woodland Ave
Springfield, IL 62704-2837

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNCC2527016 (IL)

Professional Counselor: Definition to come...

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About NPI 1912849704

Jake Carman's National Provider Identifier is 1912849704, issued on Apr 8, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on Apr 8, 2026.