Provider Demographics
NPI:1851015978
Name:BRIMBERRY, KARLEE RENEE (LPC)
Entity Type:Individual
Prefix:MISS
First Name:KARLEE
Middle Name:RENEE
Last Name:BRIMBERRY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:494 E 1550 AVE
Mailing Address - Street 2:
Mailing Address - City:VANDALIA
Mailing Address - State:IL
Mailing Address - Zip Code:62471-4264
Mailing Address - Country:US
Mailing Address - Phone:618-339-2332
Mailing Address - Fax:
Practice Address - Street 1:494 E 1550 AVE
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:IL
Practice Address - Zip Code:62471-4264
Practice Address - Country:US
Practice Address - Phone:618-339-2332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.018348101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health