Cindy Beadles, MSED

Individual provider Active NPI Professional Counselor · Galesburg, IL

NPI 1407995228 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407995228
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
2101 Windish Dr
Suite 101
Galesburg, IL 61401-6801
Phone
(309) 342-6852
Fax
(309) 342-6535
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180-003497ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Yes

Addresses

Primary practice location

2101 Windish Dr
Suite 101
Galesburg, IL 61401-6801

Mailing address

2101 Windish Dr
Suite 101
Galesburg, IL 61401-6801
Phone (309) 342-6852

Other names

  • Cindy Kohlenberger Former name

Other providers in Galesburg, IL

All providers in Galesburg, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.