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Mrs. Michelle Coventry
Professional Counselor in Normal, Illinois
NPI 1275113730

Michelle Coventry is a Professional Counselor based in Bloomington, IL and is specialized in Professional. Michelle Coventry practices in Normal, IL. The NPI Number for Michelle Coventry is 1275113730 and holds a License No. 178.016869 (Illinois).

The current practice location address for Michelle Coventry is 706 Oglesby Ave, Normal, IL and can be reached out via phone at 309-212-3606.

Location: 706 Oglesby Ave, Normal, IL, 61704-8582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275113730
Provider Name
Michelle Coventry
Credential
Provider Entity Type
Individual
Gender
Female
Address
706 Oglesby Ave, Normal, IL, 61704-8582
Phone Number
309-212-3606
Fax Number
Provider Enumeration Date
04/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
706 Oglesby Ave
City
Normal
State
Illinois
Zip
61761-4616
Phone Number
309-212-3606
Fax Number
person
Provider Business Mailing Address Details
Address
706 Oglesby Ave
City
Normal
State
Illinois
Zip
61761-4616
Phone Number
309-212-3606
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
178.016869 (Illinois)
Definition
Definition to come...
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