Organization
CYNTHIA M HARBAUGH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA M JAGODZINSKI LCSW (OWNER)
(309) 862-3620
Entity
Organization
Contact information
Practice address
200 W MONROE ST STE 305, BLOOMINGTON, IL 61701-3997
(309) 862-3620
(309) 322-0535
Mailing address
908 CRESTLINE DR, NORMAL, IL 61761-2437
(309) 862-3620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/19/2020
Last updated
09/19/2020
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