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Individual

ALISON NICOLE KERRN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
108 W MARKET ST, BLOOMINGTON, IL 61701-3918
(309) 827-5351
Mailing address
108 W MARKET ST, BLOOMINGTON, IL 61701-3918
(309) 827-5351

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/16/2019
Last updated
06/21/2023
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