Individual provider · Type 1 NPI
Ruth Kathryn Pearson, MA, LCPC, CSAT, CMAT
Professional Counselor · Springfield, IL
NPI number
1215013313
Active
Practice location
3021 Montvale Dr, Suite D
Springfield, IL 62704-5389
Fax (217) 726-8220
Mailing address
5116 Eagle Rdg
Springfield, IL 62711-7811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180-002016 (IL) |
Professional Counselor: Definition to come...
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About NPI 1215013313
Ruth Kathryn Pearson, MA, LCPC, CSAT, CMAT's National Provider Identifier is 1215013313, issued on Oct 31, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on Jun 15, 2011.