| Tiffany Mcbride | |
|
2103 E Washington St Bldg 3 Bloomington IL 61701-4310 | |
| (217) 979-0369 | |
| Not Available |
| Full Name | Tiffany Mcbride |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2103 E Washington St Bldg 3, Bloomington, Illinois |
| Authorized Official Name and Position | Tiffany Mcbride (OWNER/LEAD THERAPIST) |
| Authorized Official Contact | 2179790369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Mcbride 2103 E Washington St Bldg 3 Bloomington IL 61701-4310 Ph: (217) 979-0369 | Tiffany Mcbride 2103 E Washington St Bldg 3 Bloomington IL 61701-4310 Ph: (217) 979-0369 |
| NPI Number | 1194313262 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 01/05/2021 |
| Certification Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194313262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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