NICOLAS GUDINO NPI 1063833457

NPI Information

NPI: 1063833457
Provider Name: NICOLAS GUDINO
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
108 W MARKET ST
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 827-5351
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Nicolas Gudino is a mental health counselor in Bloomington, IL. Nicolas Gudino NPI is 1063833457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

108 W MARKET ST
BLOOMINGTON, IL
ZIP 61701-918
Phone: (309) 827-5351
Fax: (309) 829-6808

The enumeration date for this NPI number is 1/2/2014 and was last updated on 3/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	178009408	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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