PROF. Kimberly Kaye Asner-Self, ED.D., NCC, LCPC

NPI #1992053771 in Herrin, Illinois

Provider Information

NPI Number: 1992053771
Entity Type: Individual
Name: PROF. Kimberly Kaye Asner-Self, ED.D., NCC, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: ED.D., NCC, LCPC
Enumeration Date: Aug 27, 2012
Last Updated: Aug 27, 2012

Practice Location

Address: 109 LOU ANN DR
City: Herrin
State: Illinois
ZIP Code: 62948-3733
Phone: (618) 988-1330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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