IndividualActive
Kenneth Masi, PHD,
NPI 1578821641 · Pastoral Counselor · Bloomington, IL
Provider details
- NPI number
- 1578821641
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Credential
- PHD,
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
105 W Jefferson St
Bloomington, IL 61701-3904
Phone: (309) 532-3700
Approximate (ZIP-level) locationGet directions
Mailing address
105 W Jefferson St
Bloomington, IL 61701-3904
Registry dates
- Enumerated
- 2012-04-26
- Last updated
- 2012-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.