Individual
JAMIE ELIZABETH CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W MARKET ST, BLOOMINGTON, IL 61701-3918
(309) 827-5351
(309) 829-6808
Mailing address
1313 TOWNLEY DR, BLOOMINGTON, IL 61704-1324
(309) 662-5544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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