Jacob P Register, LCSW
NPI #1174279244 in Bloomington, Illinois
Provider Information
- NPI Number
- 1174279244
- Entity Type
- Individual
- Name
- Jacob P Register, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Feb 26, 2022
- Last Updated
- Feb 26, 2022
Practice Location
- Address
- 808 S ELDORADO RD STE 102
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-6075
- Phone
- (309) 706-3190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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