Individual provider · Type 1 NPI

Kenneth E. Newsome Jr.

Mental Health Counselor · Champaign, IL

NPI number 1295311587 Active

Practice location

1764 Valley Rd
Champaign, IL 61820-7112

Call (131) 280-6751 Map

Mailing address

2826 N. Monroe St
Decatur, IL 62526

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295311587

Kenneth E. Newsome Jr.'s National Provider Identifier is 1295311587, issued on Mar 18, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Mar 18, 2021.