Individual provider · Type 1 NPI

Rosemary Joda Fenton

Mental Health Counselor · Bloomington, IL

NPI number 1265768584 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Call (309) 827-5351 Map

Fax (309) 828-6808

Mailing address

722 Osage St
Normal, IL 61761-2959

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1265768584

Rosemary Joda Fenton's National Provider Identifier is 1265768584, issued on Oct 21, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Oct 21, 2009.