Individual
MRS. TARA SUMMER TREFZGER-BLESSENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
101 MAGOUN ST, BLOOMINGTON, IL 61701-4741
(309) 830-8097
Mailing address
101 MAGOUN ST, BLOOMINGTON, IL 61701-4741
(309) 830-8097
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
175T00000X
Peer Specialist
—
—
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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