Individual provider · Type 1 NPI

Robert Wolter

Professional Counselor · Bloomington, IL

NPI number 1053796367 Active

Practice location

108 W Market St
Bloomington, IL 61701

Other practice locations

  • 3248 Vandever Ave, Pekin, IL 61554-6257 · (309) 347-5579

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180011419 (IL)

Professional Counselor: Definition to come...

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About NPI 1053796367

Robert Wolter's National Provider Identifier is 1053796367, issued on Jul 28, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bloomington, IL. The record was last updated on Jul 27, 2018.