Individual
MS. CHARLOTTE DIANE KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7716 HUNT RD., SPRINGFIELD, IL 62712
(217) 220-6329
Mailing address
7716 HUNT RD., SPRINGFIELD, IL 62712
(217) 220-6329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.004344
IL
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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