Organization
CREATIVE HEALING ART THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLI JOHNSON (OWNER)
(309) 287-0610
Entity
Organization
Contact information
Practice address
200 W MONROE ST STE C7, BLOOMINGTON, IL 61701-3997
(309) 287-0610
Mailing address
200 W. MONROE ST. BOX 23, BLOOMINGTON, IL 61701-3997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180011489
IL
Other
Enumeration date
07/05/2018
Last updated
10/24/2023
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