BRYAN DEAN HEINE

BLOOMINGTON, IL
NPI1093826356
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- BRYAN DEAN HEINE
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
Mailing Address
-- BRYAN DEAN HEINE
1222 BUTLER AVE
BLOOMINGTON, IL 61701-7302
Phone number: 309-830-3361