Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 1418 | IL |
N | 101YS0200X | School Counselor | 1362616 | IL |
Y | 104100000X | Social Worker | 149.002048 | IL |
NPI | 1174856769 |
---|---|
Provider Name | Mrs. Linda M. Howley-Skuby |
First Address | Bloomington, IL 61701-3252 |
Second Address | Bloomington, IL 61701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2009 |
Last Update Date | 10/07/2014 |