Individual
CARRIE KONIECZKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1101 E WINTER AVE, DANVILLE, IL 61832-2295
(217) 651-6801
(217) 651-6802
Mailing address
1909 OAK ST, DANVILLE, IL 61832-1715
(217) 799-9161
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.015162
IL
Other
Enumeration date
09/10/2019
Last updated
06/21/2021
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