Brenda Beanblossom, MA LCPC

NPI 1669674214 · on the registry since 2007

Practice

Address: 320 South Locust Street
Carlinville, IL 62626
Phone: (217) 854-3166
Fax: (217) 854-9729
Organisation at this address: Locust Street Resource Center
Locust Street Resource Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois