Individual provider · Type 1 NPI
Kathy Jo Corn, MA, LCPC
Mental Health Counselor · Belleville, IL
NPI number
1689769119
Active
Practice location
521 W. Main, Suite 201 B
Belleville, IL 62220
Fax (618) 825-0051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180-00091 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1689769119
Kathy Jo Corn, MA, LCPC's National Provider Identifier is 1689769119, issued on Oct 3, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Belleville, IL. The record was last updated on Jul 8, 2007.