Blueprint
Blueprint provides Mental Health Counselor services in Urbana, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
2704 Boulder Dr Ste BUrbana, IL 61802 Not confirmed with CMS for 13 years — call before visiting
Phone: (217) 469-9300
Fax: (217) 469-9301
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 180.006836 (IL) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 149.009378 (IL) |
Record details
| NPI number | 1265736110 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gina Johnson — Owner/Therapist · (217) 469-9300 |
| Other names | Jmp Counseling & Tutoring Services |
| NPI enumerated | January 7, 2011 |
| Last updated in NPPES | February 27, 2013 |
| Mailing address | 2704 Boulder Drive, Suite B, Urbana, IL 61802 |
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