BRYANT WHALEN

CHAMPAIGN, IL
NPI1407179252
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-03-09
Last Update Date2010-03-09
Business Address
-- BRYANT WHALEN
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
Mailing Address
-- BRYANT WHALEN
1909 CYPRESS DR
CHAMPAIGN, IL 61821-5818
Phone number: