JOHN LESLIE FRESHOUR


Address: 616 Iaa Dr, Bloomington, IL 61701-2225
Phone: 3092616129

JOHN LESLIE FRESHOUR (NPI# 1902289994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902289994
Entity Type Individual
Full Name JOHN LESLIE FRESHOUR
Credential LCPC
Practice Address 616 Iaa Dr
Bloomington
IL 61701-2225
Practice Telephone 3092616129
Practice Fax Number 3098080617
Mailing Telephone 3092616129
Mailing Fax Number 3098080617
Enumeration Date 2015-07-08
Last Update Date 2020-01-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180.009588 IL Behavioral Health & Social Service Providers

Office Location

Street Address 616 IAA DR
City BLOOMINGTON
State IL
Zip Code 61701-2225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861031148 Kenneth Noel Martin Counselor 616 Iaa Dr, Bloomington, IL 61701-2225 2020-01-03
1467935973 Jenifer Joan Nibbio Counselor 616 Iaa Dr, Bloomington, IL 61701-2225 2018-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140964 County of Mclean Community/Behavioral Health 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 2019-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1215396288 Heidi Larsen Social Worker 902 S East St, Bloomington, IL 61701 2016-02-18
1558735126 Andrea E. Andrews Counseling LLC Counselor 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 2015-11-19
1174924856 Carole Hahn Dietitian, Registered 1406 Forrest St, Bloomington, IL 61701 2014-09-12
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1124459219 Matilde Francois Surgery 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 2013-11-27
1922435114 Smitha H Shivaprasad Pharmacist 2611 East Oakland Avenue, Bloomington, IL 61701 2013-10-02
1295161941 Ashvin Patel Obstetrics & Gynecology 31 Country Club Pl, Bloomington, IL 61701 2013-09-25
Find all providers in zip 61701

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265075162 Angela Emily Brodine Counselor 5301 Hyland Greens Dr Apt 702, Bloomington, MN 55437-3909 2019-10-23
1184280141 Holly Ann Wonders Myers Counselor 209 S Prospect Rd Ste 1, Bloomington, IL 61704-4697 2019-05-15
1326502246 Jacqueline Clare Vermaat Counselor 418 N Main St Fl 1, Bloomington, IL 61701-3916 2019-01-24
1275006215 Cameron Lee Small Counselor 9156 Vincent Ave S, Bloomington, MN 55431 2019-01-02
1891286191 Jefferson Williams Counselor 211 N Veterans Pkwy Ste 1, Bloomington, IL 61704-3568 2018-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1437663275 Counseling Resource Institute LLC Counselor 2422 E Washington St Ste 107, Bloomington, IL 61704-1611 2017-11-30
1629596812 Mental Wellness Center Inc Counselor 202 N Prospect Rd Ste 207, Bloomington, IL 61704 2017-09-07
1457728206 Faye Freeman-smith Counselor 2416 E Washington St Ste A2, Bloomington, IL 61704-1608 2015-08-27
1669851234 Amy Leigh Strohman Counselor 5414 W Old Shakopee Cir, Bloomington, MN 55437-2766 2015-05-28
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Competitor

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City BLOOMINGTON
Zip Code 61701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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