Individual provider · Type 1 NPI

Kimberly Kaye Asner-Self, ED.D., NCC, LCPC

Professional Counselor · Herrin, IL

NPI number 1992053771 Active

Practice location

109 Lou Ann Dr
Herrin, IL 62948-3733

Call (618) 988-1330 Map

Fax (618) 988-8321

Mailing address

625 Wham Dr, Mail Code 4618
Carbondale, IL 62901-4313

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.004440 (IL)

Professional Counselor: Definition to come...

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About NPI 1992053771

Kimberly Kaye Asner-Self, ED.D., NCC, LCPC's National Provider Identifier is 1992053771, issued on Aug 27, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Herrin, IL. The record was last updated on Aug 27, 2012.