Individual provider · Type 1 NPI

Kianna R. Klendworth, BS

Mental Health Counselor · Pontiac, IL

NPI number 1982367504 Active

Practice location

920 W Custer Ave
Pontiac, IL 61764-1067

Mailing address

PO Box 768
Pontiac, IL 61764-0768

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982367504

Kianna R. Klendworth, BS's National Provider Identifier is 1982367504, issued on Oct 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pontiac, IL. The record was last updated on Oct 20, 2021.