Individual provider · Type 1 NPI

Diane L. McKillop

Professional Counselor · Bloomington, IL

NPI number 1356432793 Active

Practice location

108 W Market St
Bloomington, IL 61701

Fax (309) 829-6808

Mailing address

19316 Inverness Ct
Bloomington, IL 61704

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1356432793

Diane L. McKillop's National Provider Identifier is 1356432793, issued on Sep 28, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bloomington, IL. The record was last updated on Jul 8, 2007.