National Provider Identifier
Jesse Boyles
Jesse Boyles is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Pekin, IL and a listed phone number of (309) 347-5522.
Source: public NPPES record, last updated June 07, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1306413695
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- June 07, 2021
- Last Updated
- June 07, 2021
Practice Location
- 3248 Vandever Ave
- Pekin, IL 61554-6274
Phone: (309) 347-5522
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Jesse Boyles is a Pekin, Illinois-based counselor with a documented focus on substance use disorder counseling in the federal provider registry. His public record is associated with the Tazwood Mental Health Center domain; no stronger public biography, training, certification, faculty, or leadership details were available from official sources.
Full Record
- NPI
- 1306413695
- Entity Type
- Individual
- Last Name
- Boyles
- First Name
- Jesse
- Mailing Street Address
- 3248 Vandever Ave
- Mailing City
- Pekin
- Mailing State
- IL
- Mailing ZIP Code
- 61554-6274
- Mailing Country
- US
- Mailing Phone
- (309) 347-5522
- Practice Street Address
- 3248 Vandever Ave
- Practice City
- Pekin
- Practice State
- IL
- Practice ZIP Code
- 61554-6274
- Practice Country
- US
- Practice Phone
- (309) 347-5522
- Enumeration Date
- June 07, 2021
- Last Updated
- June 07, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 07, 2021
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 101YA0400X (Taxonomy)