Provider Demographics
NPI:1528027521
Name:HAARMANN, KIMI J (MSEDLCPC)
Entity Type:Individual
Prefix:PROF
First Name:KIMI
Middle Name:J
Last Name:HAARMANN
Suffix:
Gender:F
Credentials:MSEDLCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 ASHWOOD DR
Mailing Address - Street 2:1200 NORTH FOURTH ST. (PO BOX 1047)
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-5101
Mailing Address - Country:US
Mailing Address - Phone:217-342-9705
Mailing Address - Fax:217-342-6716
Practice Address - Street 1:1200 N 4TH ST
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-3032
Practice Address - Country:US
Practice Address - Phone:217-347-7179
Practice Address - Fax:217-342-6716
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor