Individual
TORI LYNN BEVINS
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
803 1/2 E MONROE ST, BLOOMINGTON, IL 61701-4137
(309) 827-9265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.009036
IL
101YP2500X
Professional Counselor
178001783
IL
Other
Enumeration date
08/31/2006
Last updated
11/14/2019
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