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Paula D. Lodge
Counselor in Bloomington, Illinois
NPI 1245250166

Paula D. Lodge is a Counselor based in Bloomington, IL. Paula D. Lodge practices in Bloomington, IL. The NPI Number for Paula D. Lodge is 1245250166 and holds a License No. (Illinois).

The current practice location address for Paula D. Lodge is 202 E Locust St, Bloomington, IL and can be reached out via phone at 309-268-3529 and via fax at 309-268-2323. You can also correspond with Paula D. Lodge through the mailing address at PO BOX 2451, BLOOMINGTON, IL - 61702-2451 (mailing address contact number: 309-268-2172).

Location: 202 E Locust St, Bloomington, IL, 61702-2451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245250166
Provider Name
Paula D. Lodge
Credential
Provider Entity Type
Individual
Gender
Female
Address
202 E Locust St, Bloomington, IL, 61702-2451
Phone Number
309-268-3529
Fax Number
309-268-2323
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
202 E Locust St
City
Bloomington
State
Illinois
Zip
61701-3006
Phone Number
309-268-3529
Fax Number
309-268-2323
person
Provider Business Mailing Address Details
Address
202 E Locust St
City
Bloomington
State
Illinois
Zip
61701-3006
Phone Number
309-268-3529
Fax Number
309-268-2323
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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