Individual provider · Type 1 NPI

Charlene Kyse

Mental Health Counselor · Champaign, IL

NPI number 1265760656 Active

Practice location

202 W Park Ave
Champaign, IL 61820-3929

Fax (217) 373-2443

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265760656

Charlene Kyse's National Provider Identifier is 1265760656, issued on Nov 24, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Nov 24, 2009.