Individual provider · Type 1 NPI

Jessica Lyn Fry

Mental Health Counselor · Bloomington, IL

NPI number 1063187169 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Call (309) 827-5351 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063187169

Jessica Lyn Fry's National Provider Identifier is 1063187169, issued on Aug 11, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Aug 11, 2021.