Jon Bormann's National Provider Identifier (NPI) Details
Jon Bormann, LCPC
NPI: 1144856022
Enumeration Date: 2020-03-23
Last updated: 2020-03-23
Sole Proprietor: NO
Status: active
Postal Address: PO BOX 3428, SPRINGFIELD, IL
Phone: 217-525-1064
Primary Practice Address: 710 N 8TH ST, SPRINGFIELD, IL
Practice's phone: 217-525-1064