Individual
ANTHONY JOSEPH SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 W MARKET ST, BLOOMINGTON, IL 61701-3918
(309) 827-5351
(309) 829-6808
Mailing address
728 TOWANDA AVE, BLOOMINGTON, IL 61701-3336
(309) 827-6973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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