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Kyniesha Overall
Counselor in Centralia, Illinois
NPI 1245837186

Kyniesha Overall is a Counselor based in Centralia, IL. Kyniesha Overall practices in Centralia, IL. The NPI Number for Kyniesha Overall is 1245837186 and holds a License No. (Illinois).

The current practice location address for Kyniesha Overall is 904 E Martin Luther King Dr, Centralia, IL and can be reached out via phone at 618-533-1391 and via fax at 618-533-0012.

Location: 904 E Martin Luther King Dr, Centralia, IL, 62801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245837186
Provider Name
Kyniesha Overall
Credential
Provider Entity Type
Individual
Gender
Female
Address
904 E Martin Luther King Dr, Centralia, IL, 62801
Phone Number
618-533-1391
Fax Number
618-533-0012
Provider Enumeration Date
10/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
904 E Martin Luther King Dr
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1391
Fax Number
618-533-0012
person
Provider Business Mailing Address Details
Address
904 E Martin Luther King Dr
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1391
Fax Number
618-533-0012
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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