AUTUMN CHALL

BLOOMINGTON, IL
NPI1053143024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-08-17
Last Update Date2024-08-17
Business Address
AUTUMN CHALL
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701-4362
Phone number: 309-822-2261
Mailing Address
AUTUMN CHALL
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701-4362
Phone number: 309-822-2261