Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Connie Nichole Lundgren

Individual provider Professional Counselor · NPI 1427930486

Connie Nichole Lundgren is a Professional Counselor in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

1709 Jumer Dr Ste A
Bloomington, IL 61704-0914
Phone: (309) 463-5800
Fax: (833) 914-2704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178.021777 (IL)

Record details

NPI number1427930486
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 22, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

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