Individual provider · Type 1 NPI

Bonnie Blakeley, L.C.P.C.

Professional Counselor · Rockford, IL

NPI number 1225153273 Active

Practice location

129 Phelps Ave, Suite 204
Rockford, IL 61108-2453

Fax (815) 227-9793

Mailing address

3603 Corbridge Ln
Rockford, IL 61107-3545

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1225153273

Bonnie Blakeley, L.C.P.C.'s National Provider Identifier is 1225153273, issued on Mar 20, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.