NPI 1003527615

Timothy Robert Wright

Practitioner Mental Health Counselor Bloomington, IL

Practice location

Address: 108 W Market St, Bloomington, IL 61701-3918
Phone: (309) 827-5351

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Registry record

NPI: 1003527615
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2022
Record last updated: 6 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.