Grace Theofanis
Grace Theofanis is a Mental Health Counselor in Bloomington, Indiana. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
803 N Monroe StBloomington, IN 47404-3321
Phone: (812) 332-1262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1174119242 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 14, 2020 |
| Last updated in NPPES | December 14, 2020 |
| Certification date | December 14, 2020 |
| Mailing address | 803 N Monroe St, Bloomington, IN 47404-3321 |
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