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Nancy Vitello
Mental Health Counselor in Bloomington, Indiana
NPI 1356401541

Nancy Vitello is a Mental Health Counselor based in Bloomington, IN and is specialized in Mental Health. Nancy Vitello practices in Bloomington, IN. The NPI Number for Nancy Vitello is 1356401541 and holds a License No. 39000158A (Indiana).

The current practice location address for Nancy Vitello is 115 N College Ave Ste 113, Bloomington, IN and can be reached out via phone at 812-335-4148.

Location: 115 N College Ave Ste 113, Bloomington, IN, 47404-3933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356401541
Provider Name
Nancy Vitello
Credential
Provider Entity Type
Individual
Gender
Female
Address
115 N College Ave Ste 113, Bloomington, IN, 47404-3933
Phone Number
812-335-4148
Fax Number
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7166248 01 AETNA PIN
000000191123 01 ANTHEM PIN
institution
Provider Business Practice Location Address Details
Address
115 N College Ave Ste 113
City
Bloomington
State
Indiana
Zip
47404-3933
Phone Number
812-335-4148
Fax Number
person
Provider Business Mailing Address Details
Address
115 N College Ave Ste 113
City
Bloomington
State
Indiana
Zip
47404-3933
Phone Number
812-335-4148
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39000158A (Indiana)
Definition
Definition to come...
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