Most Relevant Information
Provider Data
| NPI Number: | 1003439340 |
| Provider Name: | VICTORIA FETTER |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/21/2020 |
| Last Updated: | 11/06/2024 |
Provider Practice Location
808 S ELDORADO RD STE 102
BLOOMINGTON
IL
617046075
Practice Location Phone/Fax
| Phone: | 8884287890 |
| Fax: | 8774287891 |
Provider Mailing Location
808 S ELDORADO RD STE 102
BLOOMINGTON
IL
617046075
Provider Mailing Phone/Fax
| Phone: | 8884287890 |
| Fax: | 8774287891 |