Individual
HOLLIE M. PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 JUMER DR, BLOOMINGTON, IL 61704-0914
(815) 570-9399
Mailing address
1112 W GROVE ST, BLOOMINGTON, IL 61701-4860
(309) 840-6269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.020223
IL
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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