| Doctor Name: | DARYLNN JEAN PEART |
| NPI Number: | 1063638583 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS LPHA |
| License Number: | 370984175 |
| Business Practice Address: | 137 E College St Kewanee, IL - 614433703 |
| Business Phone Number: | 3098540122 |
| Business Fax Number: | |
| Mailing Address: | 24883 Co Hwy 14 1370 N, ANNAWAN |
| State: | IL |
| Postal Code: | 61234 |
| Phone Number: | 3099356090 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 04/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 370984175 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |