MRS. Brenda I Beanblossom, MA LCPC
NPI #1669674214 in Carlinville, Illinois
Provider Information
- NPI Number
- 1669674214
- Entity Type
- Individual
- Name
- MRS. Brenda I Beanblossom, MA LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA LCPC
- Enumeration Date
- Jun 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 320 SOUTH LOCUST STREET
- City
- Carlinville
- State
- Illinois
- ZIP Code
- 62626
- Phone
- (217) 854-3166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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