KRYSTAL BRENT
NPI 1174929764
Counselor - Mental Health in Pekin, IL
Active since November 10, 2014
About Krystal Brent NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRYSTAL BRENT (NPI 1174929764) is an individual mental health provider in Pekin, Illinois and active in the NPI registry since November 2014.
NPPES Registry Identity
NPI1174929764
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRYSTAL BRENT
Location Address3248 VANDEVER AVEPekin, IL 61554-6257
Mailing Address3248 Vandever AvePekin, IL 61554-6257
Phone(309) 347-5579
Fax(309) 347-4264
Sole ProprietorNo
Enumeration DateNovember 10, 2014
✔ NPI 1174929764 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3248 VANDEVER AVE, Pekin, IL 61554
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
3248 VANDEVER AVE
PEKIN, IL 61554
PEKIN, IL 61554
Counselor (Addiction (Substance Use Disorder))
3248 VANDEVER AVE
PEKIN, IL 61554
PEKIN, IL 61554
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174929764, enumerated as an "individual" on November 10, 2014.
The provider is located at 3248 VANDEVER AVE PEKIN, IL 61554 and the phone number is (309) 347-5579.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
