Individual provider · Type 1 NPI

Kayode R. Idris

Mental Health Counselor · Bloomington, IL

NPI number 1285346940 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Call (309) 827-5351 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285346940

Kayode R. Idris's National Provider Identifier is 1285346940, issued on Dec 14, 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 Dec 14, 2022.