Diane L McKillop
Diane L McKillop is a Professional Counselor in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
108 W Market StBloomington, IL 61701
Phone: (309) 827-5351
Fax: (309) 829-6808
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X (IL) |
|---|
Record details
| NPI number | 1356432793 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2006 |
| Last updated in NPPES | July 8, 2007 |
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