Individual provider · Type 1 NPI

Connie Nichole Lundgren

Professional Counselor · Bloomington, IL

NPI number 1427930486 Active

Practice location

1709 Jumer Dr Ste A
Bloomington, IL 61704-0914

Call (309) 463-5800 Map

Fax (833) 914-2704

Mailing address

307 N Pearl St
Le Roy, IL 61752-1560

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.021777 (IL)

Professional Counselor: Definition to come...

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About NPI 1427930486

Connie Nichole Lundgren's National Provider Identifier is 1427930486, issued on Jul 22, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bloomington, IL. The record was last updated on Jul 22, 2025.