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Organization

TONYA L. BASSETT COUNSELING, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONYA LYNN BASSETT LCSW (OWNER)
(309) 831-9558
Entity
Organization

Contact information

Practice address
200 W MONROE ST STE 25, SUITE 302-A, BLOOMINGTON, IL 61701-3922
(309) 831-9558
Mailing address
200 W MONROE ST STE 25, SUITE 302-A, BLOOMINGTON, IL 61701-3922
(309) 831-9558

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149013779
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1041C0700X
LICENSED CLINICAL SOCIAL WORKER
IL
Enumeration date
08/26/2016
Last updated
08/26/2016
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