person
Mr. Kenneth Galen Queen, MED,LCPC
Mental Health Counselor in Peoria, Illinois
NPI 1437481009

Kenneth Galen Queen is a Mental Health Counselor based in Peoria, IL and is specialized in Mental Health. Kenneth Galen Queen practices in Peoria, IL and has the professional credentials of MED,LCPC. The NPI Number for Kenneth Galen Queen is 1437481009 and holds a License No. 180.006438 (Illinois).

The current practice location address for Kenneth Galen Queen is 3020 W. Willow Knolls Dr., Peoria, IL and can be reached out via phone at 309-681-5652 and via fax at 309-681-5658.

Location: 3020 W. Willow Knolls Dr., Peoria, IL, 61614
person
Provider Profile Details
NPI Number
1437481009
Provider Name
Kenneth Galen Queen
Credential
MED,LCPC
Provider Entity Type
Individual
Gender
Male
Address
3020 W. Willow Knolls Dr., Peoria, IL, 61614
Phone Number
309-681-5652
Fax Number
309-681-5658
Provider Enumeration Date
02/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3020 W. Willow Knolls Dr.
City
State
Zip
61614
Phone Number
309-681-5652
Fax Number
309-681-5658
person
Provider Business Mailing Address Details
Address
3020 W. Willow Knolls Dr.
City
State
Zip
61614
Phone Number
309-681-5652
Fax Number
309-681-5658
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.006438 (Illinois)
Definition
Definition to come...
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