Individual
MRS. TONYA LYNN BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CADC
Contact information
Practice address
702 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 827-6026
Mailing address
506 NW RACE ST # 122, ATLANTA, IL 61723-8957
(309) 825-9371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25509
IL
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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