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Organization
KIM GREENLEE COUNSELING SERVICES, LLC
Active
Organization
KIM GREENLEE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GREENLEE LCSW (OWNER/LEAD THERAPIST)
(217) 262-9508
Entity
Organization
Contact information
Practice address
2506 GALEN DR STE 108, CHAMPAIGN, IL 61821-7047
(217) 262-9508
(217) 703-8988
Mailing address
2506 GALEN DR STE 108, CHAMPAIGN, IL 61821-7047
(217) 262-9508
(217) 703-8988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.013366
LCSW149
IL
Enumeration date
01/29/2021
Last updated
10/26/2021
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