Individual provider · Type 1 NPI

Kyle Donahue

Mental Health Counselor · Bloomington, IL

NPI number 1154041069 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1154041069

Kyle Donahue's National Provider Identifier is 1154041069, issued on Aug 31, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Aug 31, 2022.