Individual provider · Type 1 NPI

Kristen Marie Kingery

Mental Health Counselor · Dixon, IL

NPI number 1063603637 Active

Practice location

325 Il Route 2
Dixon, IL 61021-9118

Mailing address

15761 E Big Mound Rd
Lindenwood, IL 61049-9705

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X041353960 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1063603637

Kristen Marie Kingery's National Provider Identifier is 1063603637, issued on Aug 7, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dixon, IL. The record was last updated on Jun 7, 2011.