Individual provider · Type 1 NPI

Jacklyn M. Ralph, MHP

Mental Health Counselor · Pontiac, IL

NPI number 1922671783 Active

Practice location

920 W Custer Ave
Pontiac, IL 61764-1067

Mailing address

PO Box 768
Pontiac, IL 61764-0768

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1922671783

Jacklyn M. Ralph, MHP's National Provider Identifier is 1922671783, issued on Jul 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pontiac, IL. The record was last updated on Jul 20, 2021.