Individual provider · Type 1 NPI

Mary Elizabeth Konken, BA

Mental Health Counselor · Champaign, IL

NPI number 1144384355 Active

Practice location

202 W Park Ave
Champaign, IL 61820-3929

Fax (217) 373-2444

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144384355

Mary Elizabeth Konken, BA's National Provider Identifier is 1144384355, issued on Dec 21, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Jul 8, 2007.