Organization · Type 2 NPI

Fullriede Professional Counseling Inc.

Mental Health Counselor · Bloomington, IL

NPI number 1043140650 Active

Practice location

2404 E Empire St # 110
Bloomington, IL 61704-3630

Call (815) 584-6383 Map

Mailing address

2404 E Empire St Ste 110
Bloomington, IL 61704-3630

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1043140650

Fullriede Professional Counseling Inc.'s National Provider Identifier is 1043140650, issued on May 23, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Sep 2, 2026.