Individual
EMILY BREITWEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3485 N 1600 EAST RD, HEYWORTH, IL 61745-9103
(309) 825-9558
Mailing address
1709 E TAYLOR ST, BLOOMINGTON, IL 61701-5665
(309) 826-9764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.020706
IL
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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