JERRID NEAL LPC NPI 1598476319

NPI Information

NPI: 1598476319
Provider Name: JERRID NEAL, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
215 REMINGTON BLVD STE G
BOLINGBROOK, IL
ZIP 60440
Phone: (630) 410-9578
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Jerrid Neal, LPC is a professional counselor in Bolingbrook, IL. Jerrid Neal, LPC NPI is 1598476319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

215 REMINGTON BLVD STE G
BOLINGBROOK, IL
ZIP 60440-663
Phone: (630) 410-9578
Fax: (630) 296-0749

The enumeration date for this NPI number is 12/13/2022 and was last updated on 12/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	178018674	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	178018674	OTHER	ILLINOIS	LICENSED PROFESSIONAL COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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