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

NPI 1992053771 · on the registry since 2012

Practice

Address: 109 Lou Ann Dr
Herrin, IL 62948
Phone: (618) 988-1330
Fax: (618) 988-8321
Organisation at this address: David E Matthews
Children'S Home And Aid
Chass Ventures Pllc Dba Peak Performance Health & Wellness
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois