Individual provider · Type 1 NPI

Kellen M. Carter

Mental Health Counselor · Bloomington, IL

NPI number 1356167340 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Fax (309) 829-6808

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356167340

Kellen M. Carter's National Provider Identifier is 1356167340, issued on Nov 25, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Nov 25, 2024.