Individual
JONATHAN BRANDT BADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMHCA
Contact information
Practice address
803 N MONROE ST, BLOOMINGTON, IN 47404-3321
(812) 332-1262
Mailing address
803 N MONROE ST, BLOOMINGTON, IN 47404-3321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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