Individual
KENDRIQUE O'NEAL COATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 FELL AVE, BLOOMINGTON, IL 61701-1826
(217) 766-6316
Mailing address
1201 FELL AVE, BLOOMINGTON, IL 61701-1826
(217) 766-6316
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.001335
IL
Other
Enumeration date
11/18/2024
Last updated
10/21/2025
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