Individual provider · Type 1 NPI

Kenneth Galen Queen, MED., LCPC

Mental Health Counselor · Peoria, IL

NPI number 1437481009 Active

Practice location

3020 W. Willow Knolls Dr.
Peoria, IL 61614

Call (309) 681-5652 Map

Fax (309) 681-5658

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.006438 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1437481009

Kenneth Galen Queen, MED., LCPC's National Provider Identifier is 1437481009, issued on Feb 8, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Peoria, IL. The record was last updated on Feb 8, 2010.