ELIZABETH ACEVEDO-ALSTRUM
NPI 1629170766
Counselor - Professional in Bloomington, IL
Active since September 01, 2006
About Elizabeth Acevedo-alstrum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH ACEVEDO-ALSTRUM (NPI 1629170766) is an individual professional provider in Bloomington, Illinois and active in the NPI registry since September 2006.
NPPES Registry Identity
NPI1629170766
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELIZABETH ACEVEDO-ALSTRUM
Location Address108 W MARKET STBloomington, IL 61701-3918
Mailing Address809 N School StNormal, IL 61761-1328 · (309) 454-4627
Phone(309) 827-5351
Fax(309) 829-6808
Sole ProprietorYes
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629170766 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
108 W MARKET ST, Bloomington, IL 61701
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629170766, enumerated as an "individual" on September 01, 2006.
The provider is located at 108 W MARKET ST BLOOMINGTON, IL 61701 and the phone number is (309) 827-5351.
Counselor with taxonomy code 101YP2500X and a focus in Professional.