| Len Childers Lcsw Counseling Services, Pllc | |
|
2103 E Washington St Ste 1d Bloomington IL 61701-4310 | |
| (917) 885-1344 | |
| Not Available |
| Full Name | Len Childers Lcsw Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2103 E Washington St Ste 1d, Bloomington, Illinois |
| Authorized Official Name and Position | Leonard J Childers (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9178851344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Len Childers Lcsw Counseling Services, Pllc 2103 E Washington St Ste 1d Bloomington IL 61701-4310 Ph: (917) 885-1344 | Len Childers Lcsw Counseling Services, Pllc 2103 E Washington St Ste 1d Bloomington IL 61701-4310 Ph: (917) 885-1344 |
| NPI Number | 1275369928 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275369928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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