person
Janis Eileen Green
Mental Health Counselor in Bloomington, Illinois
NPI 1114181104

Janis Eileen Green is a Mental Health Counselor based in Bloomington, IL and is specialized in Mental Health. Janis Eileen Green practices in Bloomington, IL. The NPI Number for Janis Eileen Green is 1114181104 and holds a License No. (Illinois).

The current practice location address for Janis Eileen Green 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 Janis Eileen Green through the mailing address at 603 E MULBERRY ST, BLOOMINGTON, IL - 61701-3223 (mailing address contact number: 309-820-1096).

Location: 108 W Market St, Bloomington, IL, 61701-3223
person
Provider Profile Details
NPI Number
1114181104
Provider Name
Janis Eileen Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 W Market St, Bloomington, IL, 61701-3223
Phone Number
309-827-5351
Fax Number
309-829-6808
Provider Enumeration Date
07/18/2008
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.
()
Definition
Definition to come...
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