Individual
KAITLYN OREAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4481 ASH GROVE DR STE B, SPRINGFIELD, IL 62711-6359
(217) 247-4421
Mailing address
4481 ASH GROVE DR STE B, SPRINGFIELD, IL 62711-6359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.021820
IL
101YP2500X
Professional Counselor
178.021820
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
04/01/2026
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