Organization
TONYA L. BASSETT COUNSELING, INC
Active
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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