Individual provider · Type 1 NPI

Jenny Shannon Riley, B.A.

Addiction (Substance Use Disorder) Counselor · Bloomington, IL

NPI number 1235569179 Active

Practice location

702 W Chestnut St
Bloomington, IL 61701-2814

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1235569179

Jenny Shannon Riley, B.A.'s National Provider Identifier is 1235569179, issued on Nov 13, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, IL. The record was last updated on Nov 13, 2013.