Individual
ELYSIA EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 369-4333
Mailing address
420 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 369-4333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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