person
Ms. Kim Ann Soltysiak, LPC
Professional Counselor in Columbia, Illinois
NPI 1003996331

Kim Ann Soltysiak is a Professional Counselor based in Saint Louis, IL and is specialized in Professional. Kim Ann Soltysiak practices in Columbia, IL and has the professional credentials of LPC. The NPI Number for Kim Ann Soltysiak is 1003996331 and holds a License No. 002400 (Illinois).

The current practice location address for Kim Ann Soltysiak is 2637 Kory Dr, Columbia, IL and can be reached out via phone at 314-960-0632 and via fax at 618-281-8127.

Location: 2637 Kory Dr, Columbia, IL, 63117-1328
person
Provider Profile Details
NPI Number
1003996331
Provider Name
Kim Ann Soltysiak
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2637 Kory Dr, Columbia, IL, 63117-1328
Phone Number
314-960-0632
Fax Number
618-281-8127
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11463170 01 MO CAQH
institution
Provider Business Practice Location Address Details
Address
2637 Kory Dr
City
State
Zip
62236-2654
Phone Number
314-960-0632
Fax Number
618-281-8127
person
Provider Business Mailing Address Details
Address
2637 Kory Dr
City
State
Zip
62236-2654
Phone Number
314-960-0632
Fax Number
618-281-8127
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
002400 (Missouri)
Definition
Definition to come...
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