Individual provider · Type 1 NPI

Kacie D. Walton Flenniken, BS

Mental Health Counselor · Robinson, IL

NPI number 1245588433 Active

Practice location

204 W Highland Ave
Robinson, IL 62454-1710

Call (618) 546-1021 Map

Fax (618) 544-7892

Mailing address

504 Micah Dr, Drawer M
Olney, IL 62450-4720

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1245588433

Kacie D. Walton Flenniken, BS's National Provider Identifier is 1245588433, issued on Aug 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Robinson, IL. The record was last updated on Aug 21, 2012.