Ladd, Phillip J

Ladd, Phillip J is an individual health care provider with primary practice located at 3716 W Brighton Ave , Peoria IL 61615. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Ladd, Phillip J can be contacted via phone (309) 692-7755.

Contact Information

Primary practice address
3716 W Brighton Ave Peoria IL 61615
Phone: (309) 692-7755
Fax: (309) 692-2262
Website:
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Health care specialties

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

Profile Details

NPI number 1255396347
LBN Legal business name Ladd, Phillip J
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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