| Cynthia M Harbaugh, Llc | |
|
200 W Monroe St Ste 305 Bloomington IL 61701-3997 | |
| (309) 862-3620 | |
| (309) 322-0535 |
| Full Name | Cynthia M Harbaugh, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 W Monroe St Ste 305, Bloomington, Illinois |
| Authorized Official Name and Position | Cynthia M Jagodzinski (OWNER) |
| Authorized Official Contact | 3098623620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia M Harbaugh, Llc 908 Crestline Dr Normal IL 61761-2437 Ph: (309) 862-3620 | Cynthia M Harbaugh, Llc 200 W Monroe St Ste 305 Bloomington IL 61701-3997 Ph: (309) 862-3620 |
| NPI Number | 1033725619 |
|---|---|
| Provider Enumeration Date | 09/19/2020 |
| Last Update Date | 09/19/2020 |
| Certification Date | 09/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033725619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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