| Masengale Counseling, Pllc | |
|
201 E Grove St Ste 100 Bloomington IL 61701-7628 | |
| (217) 497-0511 | |
| Not Available |
| Full Name | Masengale Counseling, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 201 E Grove St Ste 100, Bloomington, Illinois |
| Authorized Official Name and Position | Ashley Masengale (COUNSELOR) |
| Authorized Official Contact | 2174970511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masengale Counseling, Pllc 201 E Grove St Ste 100 Bloomington IL 61701-7628 Ph: () - | Masengale Counseling, Pllc 201 E Grove St Ste 100 Bloomington IL 61701-7628 Ph: (217) 497-0511 |
| NPI Number | 1447097688 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447097688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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