NPI 1013422369

Kayla Jane Gerdes, MALCPC

Practitioner Professional Counselor Springfield, IL

Practice location

Address: 426 W Cook St, Springfield, IL 62704-2534
Phone: (217) 502-0678

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 178011437 (IL)

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Registry record

NPI: 1013422369
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2017
Record last updated: 8 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.