Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIM CARRASCA
ActiveTIM CARRASCA is a Counselor healthcare provider located in BLOOMINGTON, Illinois. NPI 1619000742 is currently active in the NPPES registry. Verify at CMS.
Counselor · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1619000742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2007 (19.237980678369 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
1003 MARTIN LUTHER KING DRBLOOMINGTON, IL, 617011429Browse IL providers · Browse ZIP 61701
- Phone
- 3098276026
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| PAULA D. LODGE | — | 1245250166 |
| TORI LYNN BEVINS | — | 1518079060 |
| TAMMY L. RODGERS | LCPC | 1306977210 |
| MRS. LISA DIANE NEUWEG | MA, NCC | 1003948183 |
| JONATHAN MARK LINDSEY | M.S. | 1326243692 |
| JAMIE LAURSON | — | 1720376221 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.