| Mr Kenneth E Newsome Jr, | |
|
1764 Valley Rd, Champaign, IL 61820-7112 | |
| (131) 280-6751 | |
| Not Available |
| Full Name | Mr Kenneth E Newsome Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1764 Valley Rd, Champaign, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295311587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth E Newsome Jr, 2826 N. Monroe St, Decatur, IL 62526 Ph: (708) 771-7180 | Mr Kenneth E Newsome Jr, 1764 Valley Rd, Champaign, IL 61820-7112 Ph: (131) 280-6751 |
Staci Poe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St, Ste 406, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077 | |
Marie Duffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Devonshire Dr Ste B16-18, Champaign, IL 61820 Phone: 217-531-2360 | |
Laura Green, LSW Counselor Medicare: Medicare Enrolled Practice Location: 201 W Springfield Ave, Champaign, IL 61820 Phone: 217-693-4918 | |
Jennifer Carleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Devonshire Dr, Champaign, IL 61820 Phone: 217-904-3035 | |
Rachel Cooper Brown, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 309 W Clark St, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077 | |
Whitley Tate, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 Windsor Pl Ste A, Champaign, IL 61820 Phone: 217-552-1058 Fax: 855-848-7422 | |
Ms. Johanna Hermina Willemse, BA, MHP Counselor Medicare: Medicare Enrolled Practice Location: 202 W Park Ave, Champaign, IL 61820 Phone: 217-373-2436 |