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Organization
KM COUNSELING
Active
Organization
KM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHARINE MARTIN (PROVIDER)
(217) 717-4399
Entity
Organization
Contact information
Practice address
2080 W MONROE ST, SUITE 1, SPRINGFIELD, IL 62704-8406
(217) 717-4399
(217) 717-4399
Mailing address
2080 W MONROE ST, STE 1, SPRINGFIELD, IL 62704-8406
(217) 717-4399
(217) 717-4399
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-004787
IL
Other
Enumeration date
11/25/2015
Last updated
01/07/2016
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