Individual provider · Type 1 NPI

Kari And Edward Knowlton Green

Mental Health Counselor · Normal, IL

NPI number 1225904758 Active

Practice location

405 Kays Dr Ste C
Normal, IL 61761-1979

Call (309) 807-5077 Map

Mailing address

320 E Mulberry St
Bloomington, IL 61701-3124

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178022122 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1225904758

Kari And Edward Knowlton Green's National Provider Identifier is 1225904758, issued on Oct 13, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Normal, IL. The record was last updated on Oct 13, 2025.