Jody Marie Ideran is a mental health counselor in Bloomington, IL. Jody Marie Ideran NPI is 1174619043. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
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 NPI 1174619043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).
The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/8/2007.