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Merlin R. Mather, DMIN,LCPC
Professional Counselor in Normal, Illinois
NPI 1891718540

Merlin R. Mather is a Professional Counselor based in Bloomington, IL and is specialized in Professional. Merlin R. Mather practices in Normal, IL and has the professional credentials of DMIN,LCPC. The NPI Number for Merlin R. Mather is 1891718540 and holds a License No. (Illinois).

The current practice location address for Merlin R. Mather is 403 W Virginia Ave, Normal, IL and can be reached out via phone at 309-268-2910 and via fax at 309-268-2913.

Location: 403 W Virginia Ave, Normal, IL, 61702-2451
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Provider Profile Details
NPI Number
1891718540
Provider Name
Merlin R. Mather
Credential
DMIN,LCPC
Provider Entity Type
Individual
Gender
Male
Address
403 W Virginia Ave, Normal, IL, 61702-2451
Phone Number
309-268-2910
Fax Number
309-268-2913
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05732028 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
403 W Virginia Ave
City
State
Zip
61761-3666
Phone Number
309-268-2910
Fax Number
309-268-2913
person
Provider Business Mailing Address Details
Address
403 W Virginia Ave
City
State
Zip
61761-3666
Phone Number
309-268-2910
Fax Number
309-268-2913
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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