| Kristen Clow, Ma, Licensed Clinical Professional Counselor, Pllc | |
|
3233 Mathers Rd Ste A Springfield IL 62711-7900 | |
| (217) 414-2064 | |
| (217) 679-1125 |
| Full Name | Kristen Clow, Ma, Licensed Clinical Professional Counselor, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3233 Mathers Rd Ste A, Springfield, Illinois |
| Authorized Official Name and Position | Kristen Clow (LCPC) |
| Authorized Official Contact | 2174160737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Clow, Ma, Licensed Clinical Professional Counselor, Pllc 1221 W Pine St Springfield IL 62704-3548 Ph: (217) 416-0737 | Kristen Clow, Ma, Licensed Clinical Professional Counselor, Pllc 3233 Mathers Rd Ste A Springfield IL 62711-7900 Ph: (217) 414-2064 |
| NPI Number | 1659003036 |
|---|---|
| Provider Enumeration Date | 06/25/2022 |
| Last Update Date | 06/25/2022 |
| Certification Date | 06/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659003036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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