Organization
ANNE WEATHERLY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET ANNE WEATHERLY LCPC (AUTHORIZED OFFICIAL)
(309) 838-7586
Entity
Organization
Contact information
Practice address
1224 TOWANDA AVE STE 22, BLOOMINGTON, IL 61701-7414
(309) 838-7586
Mailing address
1224 TOWANDA AVE STE 22, BLOOMINGTON, IL 61701-7414
(309) 838-7586
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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