IndividualActive
Kim Hasty, M.S., LCPC
NPI 1780693515 · Professional Counselor · Maryville, IL
Provider details
- NPI number
- 1780693515
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- M.S., LCPC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
20 Professional Park Dr # a
Maryville, IL 62062-5669
Phone: (618) 288-8787
Fax: (618) 288-0737
Approximate (ZIP-level) locationGet directions
Mailing address
20 Professional Park Dr # a
Maryville, IL 62062-5669
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.