Individual provider · Type 1 NPI

Katie Kennedy

Mental Health Counselor · Pontiac, IL

NPI number 1063178481 Active

Practice location

920 W Custer Ave
Pontiac, IL 61764-1067

Fax (815) 844-3561

Mailing address

PO Box 768
Pontiac, IL 61764-0768

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063178481

Katie Kennedy's National Provider Identifier is 1063178481, issued on Nov 10, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pontiac, IL. The record was last updated on Nov 10, 2021.