Organization
KC COUNSELING, LLC
Active
Other names
Kaitlyn Cornell
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN CORNELL LCSW (OWNER/PROVIDER)
(217) 377-0299
Entity
Organization
Contact information
Practice address
206 N RANDOLPH ST STE 508, CHAMPAIGN, IL 61820-3949
(217) 377-0299
(855) 750-3291
Mailing address
1104 W PARK AVE, CHAMPAIGN, IL 61821-3245
(217) 621-0766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/12/2019
Last updated
12/16/2025
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