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Organization
KC COUNSELING, LLC
Active
Organization
KC COUNSELING, LLC
Active
Parent organization
KC COUNSELING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KC COUNSELING LLC
Authorized official
KAITLYN CORNELL LCSW, CEDS-S (CEO)
(217) 621-0766
Entity
Organization
Contact information
Practice address
313 N MATTIS AVE STE 209, CHAMPAIGN, IL 61821-2461
(217) 621-0766
Mailing address
203 FLORA DR, CHAMPAIGN, IL 61821-3212
(217) 621-0766
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/30/2025
Last updated
12/13/2025
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