Larson, Jill

Larson, Jill is an individual health care provider with primary practice located at 330 Sw Washington Street , Peoria IL 61602. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Larson, Jill can be contacted via phone (309) 676-2400.

Contact Information

Primary practice address
330 Sw Washington Street Peoria IL 61602
Phone: (309) 676-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1669503587
LBN Legal business name Larson, Jill
Credentials M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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