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Kristen Marie Kingery
Mental Health Counselor in Dixon, Illinois
NPI 1063603637

Kristen Marie Kingery is a Mental Health Counselor based in Lindenwood, IL and is specialized in Mental Health. Kristen Marie Kingery practices in Dixon, IL. The NPI Number for Kristen Marie Kingery is 1063603637 and holds a License No. 041353960 (Illinois).

The current practice location address for Kristen Marie Kingery is 325 Il Route 2, Dixon, IL and can be reached out via phone at 815-284-8726.

Location: 325 Il Route 2, Dixon, IL, 61049-9705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063603637
Provider Name
Kristen Marie Kingery
Credential
Provider Entity Type
Individual
Gender
Female
Address
325 Il Route 2, Dixon, IL, 61049-9705
Phone Number
815-284-8726
Fax Number
Provider Enumeration Date
08/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
325 Il Route 2
City
Dixon
State
Illinois
Zip
61021-9118
Phone Number
815-284-8726
Fax Number
person
Provider Business Mailing Address Details
Address
325 Il Route 2
City
Dixon
State
Illinois
Zip
61021-9118
Phone Number
815-284-8726
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
041353960 (Illinois)
Definition
Definition to come...
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