person
Kelly M. Childress, BA
Mental Health Counselor in Mattoon, Illinois
NPI 1639489800

Kelly M. Childress is a Mental Health Counselor based in Mattoon, IL and is specialized in Mental Health. Kelly M. Childress practices in Mattoon, IL and has the professional credentials of BA. The NPI Number for Kelly M. Childress is 1639489800 and holds a License No. (Illinois).

The current practice location address for Kelly M. Childress is 750 Broadway Ave E, Mattoon, IL and can be reached out via phone at 217-238-5700 and via fax at 217-238-5767.

Location: 750 Broadway Ave E, Mattoon, IL, 61938-4610
person
Provider Profile Details
NPI Number
1639489800
Provider Name
Kelly M. Childress
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
750 Broadway Ave E, Mattoon, IL, 61938-4610
Phone Number
217-238-5700
Fax Number
217-238-5767
Provider Enumeration Date
10/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
750 Broadway Ave E
City
State
Zip
61938-4610
Phone Number
217-238-5700
Fax Number
217-238-5767
person
Provider Business Mailing Address Details
Address
750 Broadway Ave E
City
State
Zip
61938-4610
Phone Number
217-238-5700
Fax Number
217-238-5767
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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