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Julia Nicole Gibson
Professional Counselor in Bloomington, Illinois
NPI 1417204413

Julia Nicole Gibson is a Professional Counselor based in Bloomington, IL and is specialized in Professional. Julia Nicole Gibson practices in Bloomington, IL. The NPI Number for Julia Nicole Gibson is 1417204413 and holds a License No. (Illinois).

The current practice location address for Julia Nicole Gibson is 2416 E Washington St Ste A4, Bloomington, IL and can be reached out via phone at 309-242-6527.

Location: 2416 E Washington St Ste A4, Bloomington, IL, 61704-1612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417204413
Provider Name
Julia Nicole Gibson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2416 E Washington St Ste A4, Bloomington, IL, 61704-1612
Phone Number
309-242-6527
Fax Number
Provider Enumeration Date
08/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2416 E Washington St Ste A4
City
Bloomington
State
Illinois
Zip
61704-1612
Phone Number
309-242-6527
Fax Number
person
Provider Business Mailing Address Details
Address
2416 E Washington St Ste A4
City
Bloomington
State
Illinois
Zip
61704-1612
Phone Number
309-242-6527
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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