person
Erica Jayne Fogarty
Mental Health Counselor in Bloomington, Illinois
NPI 1861999609

Erica Jayne Fogarty is a Mental Health Counselor based in Bloomington, IL and is specialized in Mental Health. Erica Jayne Fogarty practices in Bloomington, IL. The NPI Number for Erica Jayne Fogarty is 1861999609 and holds a License No. (Illinois).

The current practice location address for Erica Jayne Fogarty is 108 W Market St, Bloomington, IL and can be reached out via phone at 309-827-5351.

Location: 108 W Market St, Bloomington, IL, 61701-3918
person
Provider Profile Details
NPI Number
1861999609
Provider Name
Erica Jayne Fogarty
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 W Market St, Bloomington, IL, 61701-3918
Phone Number
309-827-5351
Fax Number
Provider Enumeration Date
04/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 W Market St
City
State
Zip
61701-3918
Phone Number
309-827-5351
Fax Number
person
Provider Business Mailing Address Details
Address
108 W Market St
City
State
Zip
61701-3918
Phone Number
309-827-5351
Fax Number
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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