Doctor Name: | MRS. KACIE D WALTON FLENNIKEN |
NPI Number: | 1245588433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | |
Business Practice Address: | 204 W Highland Ave Robinson, IL - 624541710 |
Business Phone Number: | 6185461021 |
Business Fax Number: | 6185447892 |
Mailing Address: | 504 Micah Dr, Drawer M OLNEY |
State: | IL |
Postal Code: | 624504720 |
Phone Number: | 6183954306 |
Fax Number: | 6183954507 |
NPI Enumeration Date: | 08/21/2012 |
NPI Last Update Date: | 08/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |