Individual provider · Type 1 NPI

Erica Jayne Fogarty

Mental Health Counselor · Bloomington, IL

NPI number 1861999609 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Call (309) 827-5351 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861999609

Erica Jayne Fogarty's National Provider Identifier is 1861999609, issued on Apr 9, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Apr 9, 2018.