Individual
DAVID MARK EHLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 W MARKET ST, BLOOMINGTON, IL 61701-3918
(309) 827-5351
Mailing address
1102 W HAMILTON RD, BLOOMINGTON, IL 61704-8657
(309) 370-8488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178009754
IL
Other
Enumeration date
07/09/2013
Last updated
08/03/2016
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