Lori Bushell Counseling LLC
Counselor, Mental Health in Peoria, IL. Organization (NPI-2).
NPI number1407359367
StatusActive
Last updated in NPPESMar 16, 2018
Details
- NPI
- 1407359367
- Entity type
- Organization (NPI-2)
- Legal business name
- Lori Bushell Counseling LLC
- Organization subpart
- No
- Enumeration date
- Mar 16, 2018
- Last updated
- Mar 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2000 W Pioneer Pkwy Ste 20Peoria, IL 61615-5805
Phone 309-231-6180
Mailing address
2000 W Pioneer Pkwy Ste 20Peoria, IL 61615-5805
Phone 309-231-6180
Authorized official
Lori Bushell
Lcpc
3092316180
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