| Dawn Zywiec Professional Counseling, Llc | |
|
2310 E Oakland Ave Suite 4 Bloomington IL 61701-5865 | |
| (309) 706-6445 | |
| Not Available |
| Full Name | Dawn Zywiec Professional Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2310 E Oakland Ave, Bloomington, Illinois |
| Authorized Official Name and Position | Dawn Marie Zywiec (OWNER) |
| Authorized Official Contact | 3097066445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Zywiec Professional Counseling, Llc 306 Spring Ridge Dr Bloomington IL 61704-9072 Ph: (309) 706-6445 | Dawn Zywiec Professional Counseling, Llc 2310 E Oakland Ave Suite 4 Bloomington IL 61701-5865 Ph: (309) 706-6445 |
| NPI Number | 1295128841 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 03/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295128841 | NPI | - | NPPES |
| 1902936636 | Other | IL | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180004875 (Illinois) | Primary |
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