KIMBERLY MOUSTOUKKIS

BLOOMINGTON, IL
NPI1306206008
Former NameKIMBERLY ANN BIELFELDT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-02-24
Last Update Date2019-09-04
Business Address
KIMBERLY MOUSTOUKKIS
1012 EKSTAM DR STE 3
BLOOMINGTON, IL 61704-6383
Phone number: 309-455-5703
Mailing Address
KIMBERLY MOUSTOUKKIS
1012 EKSTAM DR STE 3
BLOOMINGTON, IL 61704-6383
Phone number: 309-455-5703