Individual provider · Type 1 NPI
Kelly Schenk, LCPC
Professional Counselor · Red Bud, IL
NPI number
1659907269
Active
Practice location
325 S Main St
Red Bud, IL 62278-1109
Mailing address
10258 Exchange Rd
Sparta, IL 62286-3826
Other practice locations
- 412 W Market St, Red Bud, IL 62278-1033 · (618) 443-7231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.012813 (IL) |
Professional Counselor: Definition to come...
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About NPI 1659907269
Kelly Schenk, LCPC's National Provider Identifier is 1659907269, issued on Mar 14, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Red Bud, IL. The record was last updated on Mar 14, 2020.