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Organization

METAMORPHOSIS COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN L PLEZIA LCPC (OWNER)
(309) 612-8221
Entity
Organization

Contact information

Practice address
1403 BLACKSTONE ST, BLOOMINGTON, IL 61701-2665
(309) 612-8221
Mailing address
1403 BLACKSTONE ST, BLOOMINGTON, IL 61701-2665
(309) 612-8221

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/29/2024
Last updated
01/29/2024
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