person
Mr. Kenneth E Newsome JR.
Mental Health Counselor in Champaign, Illinois
NPI 1295311587

Kenneth E Newsome JR. is a Mental Health Counselor based in Decatur, IL and is specialized in Mental Health. Kenneth E Newsome JR. practices in Champaign, IL. The NPI Number for Kenneth E Newsome JR. is 1295311587 and holds a License No. (Illinois).

The current practice location address for Kenneth E Newsome JR. is 1764 Valley Rd, Champaign, IL and can be reached out via phone at 131-280-6751.

Location: 1764 Valley Rd, Champaign, IL, 62526
person
Provider Profile Details
NPI Number
1295311587
Provider Name
Kenneth E Newsome JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1764 Valley Rd, Champaign, IL, 62526
Phone Number
131-280-6751
Fax Number
Provider Enumeration Date
03/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1764 Valley Rd
City
State
Zip
61820-7112
Phone Number
131-280-6751
Fax Number
person
Provider Business Mailing Address Details
Address
1764 Valley Rd
City
State
Zip
61820-7112
Phone Number
131-280-6751
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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