Individual
KAYLEE SPINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
3414 BIG PINE TRL STE E, CHAMPAIGN, IL 61822-1297
(217) 850-0500
Mailing address
3414 BIG PINE TRL STE E, CHAMPAIGN, IL 61822-1297
(217) 850-0500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
02/18/2026
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