Organization · Type 2 NPI
Blueprint
Mental Health Counselor · Urbana, IL
NPI number
1265736110
Active
Practice location
2704 Boulder Drive, Suite B
Urbana, IL 61802
Fax (217) 469-9301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180.006836 (IL) |
| Clinical Social Worker | 1041C0700X | 149.009378 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1265736110
Blueprint's National Provider Identifier is 1265736110, issued on Jan 7, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Urbana, IL. The record was last updated on Feb 27, 2013.