Individual provider · Type 1 NPI

Janis Eileen Green

Mental Health Counselor · Bloomington, IL

NPI number 1114181104 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Call (309) 827-5351 Map

Fax (309) 829-6808

Mailing address

603 E Mulberry St
Bloomington, IL 61701-3223

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114181104

Janis Eileen Green's National Provider Identifier is 1114181104, issued on Jul 18, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Jul 18, 2008.