Rachelle A Bauer
Counselor, Mental Health in Springfield, IL. Individual provider (NPI-1).
NPI number1710690938
StatusActive
Last updated in NPPESJan 3, 2023
Details
- NPI
- 1710690938
- Entity type
- Individual (NPI-1)
- Name
- Rachelle A Bauer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2023
- Certification date
- Jan 3, 2023
- Last updated
- Jan 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 178018778 | IL | Yes |
Practice location
901 S Spring St Ste BSpringfield, IL 62704-2724
Phone 217-390-4260
Mailing address
1219 E Grove StBloomington, IL 61701-4254
Phone 309-929-3531
Other practice locations
808 S Eldorado Rd Ste 400
Bloomington, IL 61704-6068
Bloomington, IL 61704-6068
Phone 309-585-0241
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