Individual provider · Type 1 NPI

Ashley Fullriede, LPC

Mental Health Counselor · Bloomington, IL

NPI number 1821701996 Active

Practice location

2404 E Empire St # 110
Bloomington, IL 61704-3630

Call (815) 584-6383 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180017724 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1821701996

Ashley Fullriede, LPC's National Provider Identifier is 1821701996, issued on Jan 3, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Sep 2, 2026.