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Prof. Kimberly Kaye Asner-self, EDD,NCC,LCPC
Professional Counselor in Herrin, Illinois
NPI 1992053771

Kimberly Kaye Asner-self is a Professional Counselor based in Carbondale, IL and is specialized in Professional. Kimberly Kaye Asner-self practices in Herrin, IL and has the professional credentials of EDD,NCC,LCPC. The NPI Number for Kimberly Kaye Asner-self is 1992053771 and holds a License No. 180.004440 (Illinois).

The current practice location address for Kimberly Kaye Asner-self is 109 Lou Ann Dr, Herrin, IL and can be reached out via phone at 618-988-1330 and via fax at 618-988-8321.

Location: 109 Lou Ann Dr, Herrin, IL, 62901-4313
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Provider Profile Details
NPI Number
1992053771
Provider Name
Kimberly Kaye Asner-self
Credential
EDD,NCC,LCPC
Provider Entity Type
Individual
Gender
Female
Address
109 Lou Ann Dr, Herrin, IL, 62901-4313
Phone Number
618-988-1330
Fax Number
618-988-8321
Provider Enumeration Date
08/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180.004440 01 IL LICENSED CLINICAL PROFESSION COUNSELOR
institution
Provider Business Practice Location Address Details
Address
109 Lou Ann Dr
City
State
Zip
62948-3733
Phone Number
618-988-1330
Fax Number
618-988-8321
person
Provider Business Mailing Address Details
Address
109 Lou Ann Dr
City
State
Zip
62948-3733
Phone Number
618-988-1330
Fax Number
618-988-8321
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.004440 (Illinois)
Definition
Definition to come...
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