Provider Demographics
NPI:1457780082
Name:NEWTON, DARCI
Entity Type:Individual
Prefix:
First Name:DARCI
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2103 E WASHINGTON ST
Mailing Address - Street 2:STE 3E
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61701-4365
Mailing Address - Country:US
Mailing Address - Phone:309-740-1157
Mailing Address - Fax:309-585-2049
Practice Address - Street 1:2103 E WASHINGTON ST
Practice Address - Street 2:STE 3E
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61701-4365
Practice Address - Country:US
Practice Address - Phone:309-740-1157
Practice Address - Fax:309-585-2049
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor