KIMBERLY KAYE ASNER-SELF

HERRIN, IL
NPI1992053771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180.004440)
Enumeration Date2012-08-27
Last Update Date2012-08-27
Business Address
Prof. KIMBERLY KAYE ASNER-SELF Ed.D., NCC, LCPC
109 LOU ANN DR
HERRIN, IL 62948-3733
Phone number: 618-988-1330
Mailing Address
Prof. KIMBERLY KAYE ASNER-SELF Ed.D., NCC, LCPC
625 WHAM DR MAIL CODE 4618
CARBONDALE, IL 62901-4313
Phone number: 618-453-2311