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Mrs. Kelly Jeanette Erwin
Counselor in Marion, Illinois
NPI 1720282536

Kelly Jeanette Erwin is a Counselor based in Fredericktown, IL. Kelly Jeanette Erwin practices in Marion, IL. The NPI Number for Kelly Jeanette Erwin is 1720282536 and holds a License No. 2004024704 (Illinois).

The current practice location address for Kelly Jeanette Erwin is 2401 W Main St, Marion, IL and can be reached out via phone at 618-997-5311.

Location: 2401 W Main St, Marion, IL, 63645-1411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720282536
Provider Name
Kelly Jeanette Erwin
Credential
Provider Entity Type
Individual
Gender
Female
Address
2401 W Main St, Marion, IL, 63645-1411
Phone Number
618-997-5311
Fax Number
Provider Enumeration Date
06/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2401 W Main St
City
Marion
State
Illinois
Zip
62959-1188
Phone Number
618-997-5311
Fax Number
person
Provider Business Mailing Address Details
Address
2401 W Main St
City
Marion
State
Illinois
Zip
62959-1188
Phone Number
618-997-5311
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2004024704 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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