Kari And Edward Knowlton Green
Counselor, Mental Health in Normal, IL. Individual provider (NPI-1).
NPI number1225904758
StatusActive
Last updated in NPPESOct 13, 2025
Details
- NPI
- 1225904758
- Entity type
- Individual (NPI-1)
- Name
- Kari And Edward Knowlton Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2025
- Certification date
- Oct 13, 2025
- Last updated
- Oct 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 178022122 | IL | Yes |
Practice location
405 Kays Dr Ste CNormal, IL 61761-1979
Phone 309-807-5077
Mailing address
320 E Mulberry StBloomington, IL 61701-3124
Phone 309-831-8422
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