Individual provider · Type 1 NPI

Kurtiss Hassebrock

Counselor · Centralia, IL

NPI number 1417437211 Active

Practice location

904 E. Martin Luther King Drive
Centralia, IL 62801-3058

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1417437211

Kurtiss Hassebrock's National Provider Identifier is 1417437211, issued on Aug 21, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Centralia, IL. The record was last updated on Aug 21, 2018.