Individual provider · Type 1 NPI

Destiny Norman, BA

Mental Health Counselor · Centralia, IL

NPI number 1427418573 Active

Practice location

904 M L King Dr
Centralia, IL 62801-3058

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1427418573

Destiny Norman, BA's National Provider Identifier is 1427418573, issued on Mar 2, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, IL. The record was last updated on Mar 2, 2016.