person
Nicolas Gudino JR.
Mental Health Counselor in Bloomington, Illinois
NPI 1063833457

Nicolas Gudino JR. is a Mental Health Counselor based in Bloomington, IL and is specialized in Mental Health. Nicolas Gudino JR. practices in Bloomington, IL. The NPI Number for Nicolas Gudino JR. is 1063833457 and holds a License No. 180010615 (Illinois).

The current practice location address for Nicolas Gudino JR. is 108 W Market St, Bloomington, IL and can be reached out via phone at 309-827-5351 and via fax at 309-829-6808. You can also correspond with Nicolas Gudino JR. through the mailing address at 108 W MARKET ST, BLOOMINGTON, IL - 61701-3918 (mailing address contact number: 309-827-5351).

Location: 108 W Market St, Bloomington, IL, 61701-3918
person
Provider Profile Details
NPI Number
1063833457
Provider Name
Nicolas Gudino JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
108 W Market St, Bloomington, IL, 61701-3918
Phone Number
309-827-5351
Fax Number
309-829-6808
Provider Enumeration Date
01/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 W Market St
City
State
Zip
61701-3918
Phone Number
309-827-5351
Fax Number
309-829-6808
person
Provider Business Mailing Address Details
Address
108 W Market St
City
State
Zip
61701-3918
Phone Number
309-827-5351
Fax Number
309-829-6808
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180010615 (Illinois)
Definition
Definition to come...
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