Jacqueline Renee Mathias
Jacqueline Renee Mathias is a Mental Health Counselor in Bloomington, Illinois. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
108 W Market StBloomington, IL 61701-3918
Phone: (309) 827-5351
Fax: (309) 829-6806
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1609978485 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 2, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1312 Eastholme Ave, Bloomington, IL 61701-1932 |
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