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Kathryn Dorsey Yesis
Professional Counselor in Pekin, Illinois
NPI 1528669686

Kathryn Dorsey Yesis is a Professional Counselor based in Pekin, IL and is specialized in Professional. Kathryn Dorsey Yesis practices in Pekin, IL. The NPI Number for Kathryn Dorsey Yesis is 1528669686 and holds a License No. 28917 (Illinois).

The current practice location address for Kathryn Dorsey Yesis is 3248 Vandever Ave, Pekin, IL and can be reached out via phone at 309-347-5522.

Location: 3248 Vandever Ave, Pekin, IL, 61554-6274
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Provider Profile Details
NPI Number
1528669686
Provider Name
Kathryn Dorsey Yesis
Credential
Provider Entity Type
Individual
Gender
Female
Address
3248 Vandever Ave, Pekin, IL, 61554-6274
Phone Number
309-347-5522
Fax Number
Provider Enumeration Date
11/05/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28917 01 CADC
institution
Provider Business Practice Location Address Details
Address
3248 Vandever Ave
City
State
Zip
61554-6274
Phone Number
309-347-5522
Fax Number
person
Provider Business Mailing Address Details
Address
3248 Vandever Ave
City
State
Zip
61554-6274
Phone Number
309-347-5522
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
180014309 (Illinois)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
28917 ()
Definition
Definition to come...
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