person
Kimberly Diana Martin-corcoran
Professional Counselor in Bloomington, Illinois
NPI 1427145127

Kimberly Diana Martin-corcoran is a Professional Counselor based in Normal, IL and is specialized in Professional. Kimberly Diana Martin-corcoran practices in Bloomington, IL. The NPI Number for Kimberly Diana Martin-corcoran is 1427145127 and holds a License No. 180003815 (Illinois).

The current practice location address for Kimberly Diana Martin-corcoran is 502 S Morris, Bloomington, IL and can be reached out via phone at 309-820-7616 and via fax at 309-820-7657. You can also correspond with Kimberly Diana Martin-corcoran through the mailing address at 412 BROOK DR, NORMAL, IL - 61761-4358 (mailing address contact number: 309-820-7616).

Location: 502 S Morris, Bloomington, IL, 61761-4358
person
Provider Profile Details
NPI Number
1427145127
Provider Name
Kimberly Diana Martin-corcoran
Credential
Provider Entity Type
Individual
Gender
Female
Address
502 S Morris, Bloomington, IL, 61761-4358
Phone Number
309-820-7616
Fax Number
309-820-7657
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
502 S Morris
City
State
Zip
61701
Phone Number
309-820-7616
Fax Number
309-820-7657
person
Provider Business Mailing Address Details
Address
502 S Morris
City
State
Zip
61701
Phone Number
309-820-7616
Fax Number
309-820-7657
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180003815 (Illinois)
Definition
Definition to come...
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