Individual
MR. IAN WOOLLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LMFT, LMHC
Contact information
Practice address
205 N COLLEGE AVE, SUITE 313, BLOOMINGTON, IN 47404-3950
(812) 335-3805
Mailing address
205 N COLLEGE AVE, SUITE 313, BLOOMINGTON, IN 47404-3950
(812) 335-3805
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001298A
IN
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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