Individual provider · Type 1 NPI

Bryant Whalen

Mental Health Counselor · Champaign, IL

NPI number 1407179252 Active

Practice location

202 W Park Ave
Champaign, IL 61820-3929

Call (217) 373-2430 Map

Mailing address

1909 Cypress Dr
Champaign, IL 61821-5818

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407179252

Bryant Whalen's National Provider Identifier is 1407179252, issued on Mar 9, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Mar 9, 2010.