Individual
HOLLY ANN WONDERS MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
712 E EMPIRE ST, BLOOMINGTON, IL 61701-3252
(309) 830-6875
Mailing address
12459 N 550 EAST RD, STANFORD, IL 61774-9543
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180012314
IL
Other
Enumeration date
05/15/2019
Last updated
02/12/2025
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