Individual
KIMBERLY GUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2506 GALEN DR STE 101, CHAMPAIGN, IL 61821-7047
(217) 693-6072
Mailing address
2506 GALEN DR STE 101, CHAMPAIGN, IL 61821-7047
(217) 693-6072
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009831
IL
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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