Individual
DANIELLE JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 E WASHINGTON ST STE 4B, BLOOMINGTON, IL 61701-4362
(309) 822-2261
Mailing address
2103 E WASHINGTON ST STE 4B, BLOOMINGTON, IL 61701-4362
(309) 822-2261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178018914
IL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/18/2022
Last updated
02/01/2024
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